Individual
KATHERINE ROSE STOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1899 E OVERLAND RD, MERIDIAN, ID 83642-6687
(208) 376-3113
(208) 376-4114
Mailing address
4600 KIETZKE LN, STE N258, RENO, NV 89502-5000
(307) 461-9844
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
15117
TX
111N00000X
Chiropractor
B01786
NV
111N00000X
Chiropractor
Primary
CHIA-2326
ID
111NN1001X
Nutrition Chiropractor
CHIACN-2351
ID
Other
Enumeration date
09/18/2019
Last updated
11/20/2023
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