Organization
DAVIS CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT KENT DAVIS DC (PRES)
(304) 683-4100
Entity
Organization
Contact information
Practice address
106 MAIN STREET, SOPHIA, WV 25921-0010
(304) 683-4100
(304) 683-5043
Mailing address
PO BOX 10, 106 MAIN STREET, SOPHIA, WV 25921-0010
(304) 683-4100
(304) 683-5043
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
602
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0131885000
—
WV
Enumeration date
11/01/2006
Last updated
08/22/2020
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