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 |