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Organization
CHIROPRACTIC KINESIOLOGISTS, LLC
Active
Organization
CHIROPRACTIC KINESIOLOGISTS, LLC
Active
Other names
Chiropractic Kinesiologists,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAT CUCOLO (OFFICE MANAGER)
(203) 879-1385
Entity
Organization
Contact information
Practice address
250 WOLCOTT RD, WOLCOTT, CT 06716-2634
(203) 879-1385
(203) 879-1856
Mailing address
250 WOLCOTT RD, WOLCOTT, CT 06716-2634
(203) 879-1385
(203) 879-1856
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
000165
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000165
CT LICENSE
CT
01
—
1982743092
NPI
CT
Enumeration date
10/15/2010
Last updated
04/27/2011
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