Individual
DR. THEODORE WEI-KIT CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4339 W KENNEWICK AVE, KENNEWICK, WA 99336-2802
(509) 735-0311
(509) 783-1206
Mailing address
5207 S CASCADE PL, KENNEWICK, WA 99337-4548
(509) 308-8875
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034257
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0172260
DEPARTMENT OF L&I
WA
Enumeration date
11/01/2006
Last updated
02/15/2008
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