| NPI | 1982858544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN C. SMITH Owner/President 804-550-0780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104001974) |
| Enumeration Date | 2008-11-10 |
| Last Update Date | 2018-06-21 |