Individual
KEVIN CHICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2800 SAN MATEO BLVD NE STE 109, ALBUQUERQUE, NM 87110-3166
(505) 816-6885
Mailing address
4054 SAWYER RD, SARASOTA, FL 34233-1272
(941) 552-1189
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC2238
NM
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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