Organization
CK HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER KELSCH (MANAGER)
(602) 889-5833
Entity
Organization
Contact information
Practice address
12409 W INDIAN SCHOOL RD SUITE B-210, AVONDALE, AZ 85323
(602) 889-5833
Mailing address
PO BOX 2954, PHOENIX, AZ 85062-2954
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
111NR0400X
Rehabilitation Chiropractor
—
—
132700000X
Dietary Manager
—
—
171M00000X
Case Manager/Care Coordinator
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/19/2011
Last updated
03/23/2012
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