Organization
KJW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK WERSLAND (OWNER)
(801) 292-9355
Entity
Organization
Contact information
Practice address
135 S 500 W, BOUNTIFUL, UT 84010-8728
(801) 292-9355
Mailing address
135 S 500 W, BOUNTIFUL, UT 84010-8728
(801) 292-9355
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5201851-1202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528476495001
—
UT
Enumeration date
02/06/2008
Last updated
02/06/2008
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