Organization
CJK HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER JOHN KELSCH DC (OWNER)
(623) 935-9920
Entity
Organization
Contact information
Practice address
12409 W INDIAN SCHOOL RD STE B210, AVONDALE, AZ 85392-9505
(623) 935-9920
(602) 889-5834
Mailing address
PO BOX 64642, PHOENIX, AZ 85082-4642
(602) 889-5833
(602) 889-5834
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/28/2012
Last updated
09/10/2012
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