Organization
JONAH KILTY CHIROPRACTIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONAH KILTY DC (OWNER)
(715) 389-1262
Entity
Organization
Contact information
Practice address
404 E 4TH ST, MARSHFIELD, WI 54449-3717
(715) 389-1262
Mailing address
404 E 4TH ST, MARSHFIELD, WI 54449-3717
(715) 389-1262
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4380-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38182800
—
WI
Enumeration date
02/08/2016
Last updated
04/14/2016
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