Individual
KEVIN STORM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
622 N MADISON AVE, SUITE 9, GREENWOOD, IN 46142-4052
(317) 509-7288
(317) 508-4463
Mailing address
116 W SOUTHPORT RD, INDIANAPOLIS, IN 46217-4063
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002734A
IN
Other
Enumeration date
03/27/2013
Last updated
09/12/2013
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