Organization
KINETIC SPINE & SPORTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL EDWARD DANIELEY DC (OWNER)
(704) 849-0344
Entity
Organization
Contact information
Practice address
1928 WEDDINGTON RD, WEDDINGTON, NC 28104-8318
(704) 849-0344
(704) 849-0521
Mailing address
1928 WEDDINGTON RD, WEDDINGTON, NC 28104-8318
(704) 849-0344
(704) 849-0521
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3711
NC
111N00000X
Chiropractor
4183
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH4183
—
SC
Enumeration date
09/12/2012
Last updated
12/12/2016
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