Individual
KEVIN JACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
8202 RENAISSANCE PKWY STE 108, DURHAM, NC 27713-6694
(919) 823-6384
Mailing address
107 EVENING STAR DRIVE, APEX, NC 27502
(314) 243-7100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5835
NC
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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