Individual
DR. JEFFREY JOHN KVATERNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, CCSP
Contact information
Practice address
7267 MARTIN WAY E, OLYMPIA, WA 98516-5534
(360) 438-9609
(360) 456-7380
Mailing address
7267 MARTIN WAY E, OLYMPIA, WA 98516-5534
(360) 438-9609
(360) 456-7380
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
025202-CH00002200
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0190475
WORKERS COMPENSATION
WA
05
—
2007748
—
WA
Enumeration date
07/17/2006
Last updated
11/15/2007
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