Organization
WILKENS CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYMBERLEE WILKENS (CHIROPRACTOR)
(928) 853-8059
Entity
Organization
Contact information
Practice address
715 N HUMPHREYS ST, FLAGSTAFF, AZ 86001-3025
(928) 853-8059
Mailing address
715 N HUMPHREYS ST, FLAGSTAFF, AZ 86001-3025
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7305
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124218086
NATIONAL PROVIDER IDENTIFIER
AZ
Enumeration date
03/23/2011
Last updated
03/23/2011
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