Organization
KSE CHIROPRACTIC INC.
Active
Other names
Chiropractic USA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENDALL S. ERETH D.C. (PRESIDENT)
(623) 773-0505
Entity
Organization
Contact information
Practice address
8251 W THUNDERBIRD RD, SUITE 120, PEORIA, AZ 85381-4602
(623) 773-0505
(623) 773-0405
Mailing address
8251 W THUNDERBIRD RD, SUITE 120, PEORIA, AZ 85381-4602
(623) 773-0505
(623) 773-0405
Taxonomy
Speciality
Code
Description
License number
State
111NX0100X
Occupational Health Chiropractor
Primary
AZ4824
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0910420
BCBS
AZ
Enumeration date
12/07/2005
Last updated
08/22/2020
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