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Individual

DR. KY ALLEN BORGSTADT

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
4611 HARD SCRABBLE RD, SUITE 115, COLUMBIA, SC 29229-9453
(803) 462-6110
(803) 462-9814
Mailing address
4611 HARD SCRABBLE RD, SUITE 115, COLUMBIA, SC 29229-9453
(803) 462-6110
(803) 462-9814

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2552
SC

Other

Enumeration date
09/26/2005
Last updated
07/08/2007
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