Organization
KD CHIROPRACTIC LLC
Active
Parent organization
KD CHIROPRACTIC LLC
Other names
Whiterock Chiropractic
Organization subpart
Yes
Provider details
NPI number
Legal business name
KD CHIROPRACTIC LLC
Authorized official
JEREMY RAY BUCKNER DC (OWNER)
(480) 897-3300
Entity
Organization
Contact information
Practice address
1001 E WARNER RD, STE 107, TEMPE, AZ 85284-3224
(480) 897-3300
(480) 897-3312
Mailing address
PO BOX 11180, TEMPE, AZ 85284-0020
(480) 264-3744
(480) 264-2075
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/07/2011
Last updated
05/23/2013
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