Individual
DR. CHARLES TIMOTHY KINGREY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
902 SAMPSON ST, WESTLAKE, LA 70669-5311
(337) 436-3145
(337) 436-5435
Mailing address
PO BOX 277, WESTLAKE, LA 70669-0277
(337) 436-3145
(337) 436-5435
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1710
LA
Other
Enumeration date
05/15/2014
Last updated
05/19/2014
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