Organization
KMWA, LLC
Active
Other names
Simply Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORI LYNN WALENGA D.C. (MEMBER)
(616) 874-8777
Entity
Organization
Contact information
Practice address
6575 BELDING RD NE, SUITE C, ROCKFORD, MI 49341-7418
(616) 874-8777
(616) 874-8835
Mailing address
6575 BELDING RD NE, SUITE C, ROCKFORD, MI 49341-7418
(616) 874-8777
(616) 874-8835
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009047
MI
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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