Organization
KING DIAGNOSTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN K GRANGER (PRESIDENT)
(614) 582-2135
Entity
Organization
Contact information
Practice address
1349 MCNAUGHTEN RD, COLUMBUS, OH 43232-1678
(614) 582-2135
Mailing address
391 FALLRIVER DR, REYNOLDSBURG, OH 43068-7102
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1140
OH
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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