Individual
DR. NEIL JORDAN KJOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3536 CUMMINGS HWY, STE. 120, CHATTANOOGA, TN 37419-2435
(423) 825-5252
(423) 825-1228
Mailing address
3536 CUMMINGS HWY, STE. 120, CHATTANOOGA, TN 37419-2435
(423) 825-5252
(423) 825-1228
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
1430
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000933226A
—
GA
01
—
3069538
BLUE CROSS PIN
TN
01
—
350052346
RAILROAD MC/PALMETTO GBA
GA
01
—
5011638
AETNA PIN
TN
01
—
621713923
TAX ID NO.
TN
Enumeration date
09/29/2005
Last updated
11/30/2010
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