Individual
DR. KYLE THOMAS BERGQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
2004 FAIRVIEW AVE, SEATTLE, WA 98121-2704
(206) 749-0169
Mailing address
906 DEXTER AVE NORTH, SEATTLE, WA 98109
(206) 713-4721
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034652
WA
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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