Organization
INTEGRATIVE CHIROPRACTIC AND EXTREMITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE D BRYANT DC (OWNER)
(509) 820-3828
Entity
Organization
Contact information
Practice address
7101 W HOOD PL, SUITE A101, KENNEWICK, WA 99336-6700
(509) 820-3828
Mailing address
7101 W HOOD PL, SUITE A101, KENNEWICK, WA 99336-6700
(509) 820-3828
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH60418028
LICENSE
WA
Enumeration date
04/10/2017
Last updated
07/21/2022
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