Individual
DR. KEVIN JAMES MUNKSGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
753 S ALMA SCHOOL RD STE 3, MESA, AZ 85210-1086
(480) 827-2197
Mailing address
164 N 74TH ST APT 2086, MESA, AZ 85207-8321
(480) 854-4423
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC 29480
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7681336
—
CA
Enumeration date
07/04/2006
Last updated
07/09/2007
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