Organization
MESSAMORE CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH C MESSAMORE I D.C. (OWNER)
(269) 978-4325
Entity
Organization
Contact information
Practice address
5053 SPORTS DR, STE 100, KALAMAZOO, MI 49009-7117
(269) 978-4325
(269) 978-1108
Mailing address
5053 SPORTS DR, STE 100, KALAMAZOO, MI 49009-7117
(269) 978-4325
(269) 978-1108
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
KM008130
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007351293
AETNA PIN
MI
01
—
P110843
BCN NUMBER
MI
Enumeration date
02/11/2007
Last updated
08/22/2020
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