Individual
DR. WILLIE KORNEGAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4916 CENTER ST STE G, TACOMA, WA 98409-2348
(253) 912-9653
Mailing address
4916 CENTER ST STE G, TACOMA, WA 98409-2348
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH61246406
WA
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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