Organization
INCHIOSTRO CHIROPRACTIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH LAWRENCE INCHIOSTRO DC (OWNER)
(636) 300-8089
Entity
Organization
Contact information
Practice address
1043A WOLFRUM RD, WELDON SPRING, MO 63304-7625
(636) 300-8089
(636) 300-8049
Mailing address
1043A WOLFRUM RD, WELDON SPRING, MO 63304-7625
(636) 300-8089
(636) 300-8049
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2000172545
MO
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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