Organization
KLEMM CHIROPRACTIC CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERALD WILLIAM KLEMM D.C. (PRESIDENT)
(703) 941-3601
Entity
Organization
Contact information
Practice address
6334 COLUMBIA PIKE, FALLS CHURCH, VA 22041-1219
(703) 941-3601
Mailing address
6334 COLUMBIA PIKE, FALLS CHURCH, VA 22041-1219
(703) 941-3601
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000410
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942474986
INDIVIDUAL NPI
VA
01
—
G01602
MEDICARE PTEN
VA
Enumeration date
07/28/2008
Last updated
07/28/2008
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