Organization
ALEX KVACH DC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX KVACH D.C. (OWNER)
(918) 246-5808
Entity
Organization
Contact information
Practice address
110 E BROADWAY ST, SAND SPRINGS, OK 74063-7639
(918) 246-5808
(918) 246-5809
Mailing address
1124 S COLUMBIA AVE, TULSA, OK 74104-3929
(918) 760-2539
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4221
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201104490A
—
OK
Enumeration date
03/07/2016
Last updated
10/13/2022
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