NPI | 1164527016 |
---|---|
Doing Business As | KINGEN CHIROPRACTIC WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | BRENDA L KINGEN Owner 314-646-0013 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MO CE006146) |
Enumeration Date | 2006-09-14 |
Last Update Date | 2020-08-22 |