Individual
KAY K SECREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
316 STEELE ST, ALGOMA, WI 54201-1265
(920) 487-9909
(877) 898-0965
Mailing address
316 STEELE ST, ALGOMA, WI 54201-1265
(920) 487-9909
(877) 898-0965
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1307
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1307
STATE LICENSE NUMBER
WI
Enumeration date
06/09/2006
Last updated
07/08/2007
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