| NPI | 1144409772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN L CONOVER Vice President 757-591-8834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104001663) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2018-04-17 |