Organization
BALLARD CENTRAL CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRODIE I KLENK DC (PRESIDENT)
(206) 784-3895
Entity
Organization
Contact information
Practice address
5409 17TH AVE NW, SEATTLE, WA 98107-3818
(206) 784-3895
(206) 784-7471
Mailing address
5409 17TH AVE NW, SEATTLE, WA 98107-3818
(206) 784-3895
(206) 784-7471
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034175
WA
Other
Enumeration date
07/18/2007
Last updated
07/18/2007
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