Organization
NORTHWEST CHIROPRACTIC CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVAN J. EVANS DC (DOCTOR OF CHIROPRACTIC)
(660) 582-8099
Entity
Organization
Contact information
Practice address
206 W 2ND ST, MARYVILLE, MO 64468-2229
(660) 582-8099
(660) 582-5161
Mailing address
206 W 2ND ST, MARYVILLE, MO 64468-2229
(660) 582-8099
(660) 582-5161
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
MO
Other
Enumeration date
11/13/2007
Last updated
11/15/2007
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