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Organization
KTW WELLNESS LLC
Active
Organization
KTW WELLNESS LLC
Active
Parent organization
KTW WELLNESS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KTW WELLNESS LLC
Authorized official
DR. KENYA WHITE D.C. (CHIROPRACTOR)
(240) 271-2626
Entity
Organization
Contact information
Practice address
9500 MEDICAL CENTER DR STE 436, UPPER MARLBORO, MD 20774-3716
(240) 271-2626
Mailing address
9500 MEDICAL CENTER DR STE 436, UPPER MARLBORO, MD 20774-3716
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
111NI0013X
Independent Medical Examiner Chiropractor
—
—
111NN0400X
Neurology Chiropractor
—
—
111NN1001X
Nutrition Chiropractor
—
—
111NP0017X
Pediatric Chiropractor
—
—
111NR0200X
Radiology Chiropractor
—
—
111NR0400X
Rehabilitation Chiropractor
—
—
111NS0005X
Sports Physician Chiropractor
—
—
Other
Enumeration date
11/15/2024
Last updated
11/15/2024
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