Organization
KIRKWOOD PAIN & INJURY CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN LAINE (PRESIDENT)
(917) 803-3818
Entity
Organization
Contact information
Practice address
600 NE FRONT STREET EXT, SUITE D, MILFORD, DE 19963-1395
(302) 422-2329
Mailing address
600 NE FRONT STREET EXT, SUITE D, MILFORD, DE 19963-1395
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
F1-0000881
DE
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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