Organization
KMGO ENTERPRISES PLLC
Active
Other names
The Wellness Center Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN WATERLOO DC (PRESIDENT / OWNER)
(479) 435-6834
Entity
Organization
Contact information
Practice address
1271 STEAMBOAT DR., SUITE 1, FAYETTEVILLE, AR 72704
(479) 435-6834
(509) 694-8932
Mailing address
1271 STEAMBOAT DR., SUITE 1, FAYETTEVILLE, AR 72704
(479) 435-6834
(509) 694-8932
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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