Organization
SPINE CARE OF TIDEWATER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN J. WESTBY D.C. (PRESIDENT)
(757) 873-8483
Entity
Organization
Contact information
Practice address
11872 CANON BLVD STE D, NEWPORT NEWS, VA 23606-4239
(757) 873-8483
(757) 873-1150
Mailing address
11872 CANON BLVD STE D, NEWPORT NEWS, VA 23606-4239
(757) 873-8483
(757) 873-1150
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000693
VA
Other
Enumeration date
02/05/2007
Last updated
12/14/2007
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