| 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 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2022-07-21 |