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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