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Organization
KEVIN F PRIESTLEY CHIROPRACTIC CORPORATION
Active
Organization
KEVIN F PRIESTLEY CHIROPRACTIC CORPORATION
Active
Other names
Priestley Chiropractic Group, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN F PRIESTLEY DC (OWNER)
(949) 640-7030
Entity
Organization
Contact information
Practice address
3 CORPORATE PLAZA DR, SUITE 200, NEWPORT BEACH, CA 92660-7932
(949) 640-7030
(949) 640-0356
Mailing address
3 CORPORATE PLAZA DR, SUITE 200, NEWPORT BEACH, CA 92660-7932
(949) 640-7030
(949) 640-0356
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC13648
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350004156
RAILROAD MEDICARE
CA
Enumeration date
03/15/2007
Last updated
12/09/2010
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