Individual
MICHAEL D KOOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
10815 KENAI SPUR HWY, KENAI, AK 99611-7848
(907) 283-5414
(907) 283-6016
Mailing address
10815 KENAI SPUR HWY, KENAI, AK 99611-7848
(907) 283-5414
(907) 283-6016
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
AA210
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH00086
—
AK
Enumeration date
11/01/2006
Last updated
07/08/2007
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