| NPI | 1144076886 |
|---|---|
| Former Legal Business Name | KCWC |
| Entity Type | Organization |
| Authorized Contact | STEVEN KEY President/Owner 208-965-2128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician |
| Enumeration Date | 2024-04-24 |
| Last Update Date | 2024-04-24 |