Organization
KEITH CLINIC ESTRAMONTE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACIE KENNARD (HR SPECIALIST)
(704) 319-9200
Entity
Organization
Contact information
Practice address
7001 SOUTH BLVD STE A, CHARLOTTE, NC 28217-4398
(704) 319-9200
Mailing address
4024 TRIANGLE DR, CHARLOTTE, NC 28208-2828
(704) 319-9200
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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