Individual
KEVIN M SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1033 REGENTS BLVD STE 203, FIRCREST, WA 98466-6091
(253) 566-6121
(253) 564-8118
Mailing address
1033 REGENTS BLVD STE 203, FIRCREST, WA 98466-6091
(253) 566-6121
(253) 564-8118
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002248
WA
Other
Enumeration date
12/11/2006
Last updated
09/30/2014
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