Individual
DR. KEVIN LYNN TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
111 E STEWART AVE, PUYALLUP, WA 98372-3008
(253) 845-0543
(253) 848-6788
Mailing address
111 E STEWART AVE, PUYALLUP, WA 98372-3008
(253) 845-0543
(253) 848-6788
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002891
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39044
LABOR & INDUSTRIES
WA
01
—
TE6127
REGENCE RIDER
WA
Enumeration date
12/18/2006
Last updated
07/08/2007
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