Individual
KIMATHI CARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
930 ATLANTIC AVE, BROOKLYN, NY 11238-3101
(718) 230-3301
Mailing address
930 ATLANTIC AVE, BROOKLYN, NY 11238-3101
(718) 230-3301
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0134291
NY
Other
Enumeration date
10/01/2013
Last updated
10/01/2013
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