Organization
CHIROPRACTIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN TAM LE DC (CLINIC DIRECTOR)
(402) 827-8879
Entity
Organization
Contact information
Practice address
5002 CENTER ST, STE 4, OMAHA, NE 68106
(402) 827-8879
(402) 884-3349
Mailing address
5002 CENTER ST, STE 4, OMAHA, NE 68106
(402) 827-8879
(402) 884-3349
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1314
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025044700
—
NE
Enumeration date
07/23/2006
Last updated
08/22/2020
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