# KIST FAMILY CHIROPRACTIC & WELLNESS CENTRE INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356466445
- **Authorized official:** DR. JAMES K KIST DC (OWNER)
- **Authorized official phone:** (440) 428-0711

## Contact information

- **Practice address:** 2711 HUBBARD RD, MADISON, OH 44057
- **Practice address phone:** (440) 428-0711
- **Practice address fax:** (440) 428-0760
- **Mailing address:** 2711 HUBBARD RD, MADISON, OH 44057
- **Mailing address phone:** (440) 428-0711
- **Mailing address fax:** (440) 428-0760

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 2823 | OH | Yes |
| 111N00000X | Chiropractor | 2827 | OH | — |

## Other

- **Enumeration date:** 03/20/2007
- **Last updated:** 09/22/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2174749 | — | OH |