Individual
KEVIN BURROUGHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
15713 DETROIT AVE, LAKEWOOD, OH 44107-3709
(330) 554-4232
Mailing address
6018 MADISON AVE, CLEVELAND, OH 44102-4356
(330) 554-4232
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-04788
OH
Other
Enumeration date
01/03/2018
Last updated
12/05/2019
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