Individual
KENDRICK L. TWEEDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., C.C.S.P.
Contact information
Practice address
8752 W OVERLAND RD, SUITE 110, BOISE, ID 83709-1604
(208) 323-2833
(208) 323-2834
Mailing address
8752 W OVERLAND RD, SUITE 110, BOISE, ID 83709-1604
(208) 323-2833
(208) 323-2834
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA732
CA
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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