Organization
CORE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAILE RYAN MYRICK D.C. (OWNER)
(719) 217-7453
Entity
Organization
Contact information
Practice address
4730 CENTENNIAL BLVD, 102, COLORADO SPRINGS, CO 80919-3338
(719) 258-8349
Mailing address
4730 CENTENNIAL BLVD, 102, COLORADO SPRINGS, CO 80919-3338
(719) 217-7453
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
CHR.0007486
CO
Other
Enumeration date
10/24/2016
Last updated
12/14/2016
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