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Organization

WIDHELM CHIROPRACTIC CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KAY KAY WIDHELM (OFFICE MANAGER)
(402) 902-9067
Entity
Organization

Contact information

Practice address
1520 N COMMERCE ST, STE C, ARDMORE, OK 73401-1861
(402) 902-9067
Mailing address
1520 N COMMERCE ST, STE C, ARDMORE, OK 73401-1861
(402) 902-9067

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
767
NE

Other

Enumeration date
09/08/2016
Last updated
09/08/2016
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