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Organization
KSE CHIROPRACTIC INC.
Active
Organization
KSE CHIROPRACTIC INC.
Active
Other names
Chiropractic USA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENDALL S. ERETH D.C. (PRESIDENT)
(623) 773-0505
Entity
Organization
Contact information
Practice address
8251 W THUNDERBIRD RD, SUITE 120, PEORIA, AZ 85381-4602
(623) 773-0505
(623) 773-0405
Mailing address
8251 W THUNDERBIRD RD, SUITE 120, PEORIA, AZ 85381-4602
(623) 773-0505
(623) 773-0405
Taxonomy
Speciality
Code
Description
License number
State
111NX0100X
Occupational Health Chiropractor
Primary
AZ4824
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0910420
BCBS
AZ
Enumeration date
12/07/2005
Last updated
08/22/2020
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