Organization
KIM S.NAGLE, DC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM S NAGLE DC (OWNER, CHIROPRACTOR)
(609) 714-9494
Entity
Organization
Contact information
Practice address
520 STOKES ROAD, SUITE B1, MEDFORD, NJ 08055-2915
(609) 714-9494
(609) 714-9218
Mailing address
520 STOKES ROAD, SUITE B1, MEDFORD, NJ 08055-2915
(609) 714-9494
(609) 714-9218
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MC02575
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295785830
PRIMARY NPI
NJ
Enumeration date
03/21/2012
Last updated
03/21/2012
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