Organization
LOOKOUT VALLEY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEIL J KJOS D.C. (CHIROPRACTOR)
(423) 825-5252
Entity
Organization
Contact information
Practice address
3536 CUMMINGS HWY, STE120, CHATTANOOGA, TN 37419-2435
(423) 825-5252
(423) 825-1228
Mailing address
3536 CUMMINGS HWY, STE120, CHATTANOOGA, TN 37419-2435
(423) 825-5252
(423) 825-1228
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
1430
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000933226A
—
GA
01
—
3069538
BLUE CROSS PIN
TN
01
—
350052346
RAILROAD MC PALMETTO GBA
GA
01
—
5011638
AETNA PIN
TN
Enumeration date
10/17/2006
Last updated
11/30/2010
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