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Organization

KD HEALTHCARE LLC

Active
Parent organization
KD HEALTHCARE LLC
Other names
White Rock Health Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
KD HEALTHCARE LLC
Authorized official
DR. JEREMY R BUCKNER D.C. (OWNER)
(602) 421-2730
Entity
Organization

Contact information

Practice address
1001 E WARNER RD, SUITE 107, TEMPE, AZ 85284-3224
(480) 897-3300
(480) 897-3312
Mailing address
1001 E WARNER RD, SUITE 107, TEMPE, AZ 85284-3224
(480) 897-3300
(480) 897-3312

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
111NR0400X
Rehabilitation Chiropractor
208100000X
Physical Medicine & Rehabilitation Physician
Primary
363L00000X
Nurse Practitioner
363LF0000X
Family Nurse Practitioner
364SF0001X
Family Health Clinical Nurse Specialist

Other

Enumeration date
11/13/2013
Last updated
06/22/2015
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