Organization
ADAM MCKILLICAN CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH ADAM MCKILLICAN DC (OWNER)
(805) 233-6970
Entity
Organization
Contact information
Practice address
1437 S VICTORIA AVE, F, VENTURA, CA 93003-6549
(805) 233-6970
(805) 676-1142
Mailing address
15550 ROCKFIELD BLVD, B220, IRVINE, CA 92618-2720
(949) 598-9999
(949) 598-9990
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC25899
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC25899
CHIROPRACTIC LICENSE
CA
Enumeration date
08/28/2009
Last updated
08/28/2009
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