Organization
DOC KIDDY CHIROPRACTIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFERY BERNARD KIDDY DC (PRESIDENT)
(619) 420-8430
Entity
Organization
Contact information
Practice address
401 H ST STE 1, CHULA VISTA, CA 91910-4331
(619) 420-8430
(619) 420-8230
Mailing address
401 H ST STE 1, CHULA VISTA, CA 91910-4331
(619) 420-8430
(619) 420-8230
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC12202
CA
Other
Enumeration date
01/03/2007
Last updated
08/22/2020
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