NPI | 1376592287 |
---|---|
Doing Business As | KO-KWELL WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | AMBER ROBERTSON Billing Manager 541-888-9494 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2006-05-08 |
Last Update Date | 2022-07-21 |