Organization
KD CHIROPRACTIC LLC
Active
Parent organization
KD CHIROPRACTIC LLC
Other names
Metro Center Chiropractic
Organization subpart
Yes
Provider details
NPI number
Legal business name
KD CHIROPRACTIC LLC
Authorized official
DR. JEREMY RAY BUCKNER DC (OWNER)
(480) 897-3300
Entity
Organization
Contact information
Practice address
10046 N METRO PKWY W, STE 115, PHOENIX, AZ 85051-1437
(602) 674-5515
(602) 674-3029
Mailing address
PO BOX 11180, TEMPE, AZ 85284-0020
(480) 264-3744
(480) 264-2075
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/20/2011
Last updated
05/24/2013
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