Organization
STORM CHIROPRACTIC CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN STORM (OWNER/CHIROPRACTIC PHYSICIAN)
(317) 509-7288
Entity
Organization
Contact information
Practice address
622 N MADISON AVE, SUITE 9, GREENWOOD, IN 46142-4082
(317) 509-7288
Mailing address
622 N MADISON AVE, SUITE 9, GREENWOOD, IN 46142-4082
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002734A
IN
Other
Enumeration date
09/09/2013
Last updated
09/09/2013
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