Organization
ABUNDANT LIFE CHIROPRACTIC A CREATING WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAYCIE A KIMBERLIN DC (PARTNER)
(845) 331-8810
Entity
Organization
Contact information
Practice address
327 BROADWAY, PORT EWEN, NY 12466-0927
(845) 331-8810
Mailing address
327 BROADWAY, PORT EWEN, NY 12466-0927
(845) 331-8810
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X009059
NY
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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