# KD HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KD HEALTHCARE LLC
- **Other names:** White Rock Health Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1780014621
- **Legal business name:** KD HEALTHCARE LLC
- **Authorized official:** DR. JEREMY R BUCKNER D.C. (OWNER)
- **Authorized official phone:** (602) 421-2730

## Contact information

- **Practice address:** 1001 E WARNER RD, SUITE 107, TEMPE, AZ 85284-3224
- **Practice address phone:** (480) 897-3300
- **Practice address fax:** (480) 897-3312
- **Mailing address:** 1001 E WARNER RD, SUITE 107, TEMPE, AZ 85284-3224
- **Mailing address phone:** (480) 897-3300
- **Mailing address fax:** (480) 897-3312

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 111NR0400X | Rehabilitation Chiropractor | — | NULL | — |
| 111NR0400X | Rehabilitation Chiropractor | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 364SF0001X | Family Health Clinical Nurse Specialist | — | NULL | — |
| 364SF0001X | Family Health Clinical Nurse Specialist | — | — | — |

## Other

- **Enumeration date:** 11/13/2013
- **Last updated:** 06/22/2015