| NPI | 1902962806 |
|---|---|
| Former Legal Business Name | KP CHIROPRACTIC |
| Former Legal Business Name | KP CHIROPRACTIC & ACUPUNCTURE |
| Entity Type | Organization |
| Authorized Contact | LORI M WIGHT Owner/Provider 309-690-3322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-008520) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-04-02 |