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Organization

KINNISON CHIROPRACTIC, LLC

Active
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Organization

KINNISON CHIROPRACTIC, LLC

Active
Parent organization
KINNISON CHIROPRACTIC
Other names
Back Pain Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
KINNISON CHIROPRACTIC
Authorized official
NATE EDWARD KINNISON (DR. NATE KINNISON)
(573) 768-1250
Entity
Organization

Contact information

Practice address
905 MAIN PLAZA DR, WENTZVILLE, MO 63385-1168
(636) 856-1260
(636) 856-1245
Mailing address
2017 EMERALD CREST CT, CHESTERFIELD, MO 63017-5404
(573) 768-1250

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary

Other

Enumeration date
10/13/2020
Last updated
12/17/2020
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