Kaikoa LLC

NPI #1023468485 in Fort Worth, Texas

Provider Information

NPI Number: 1023468485
Entity Type: Organization
Organization Name: Kaikoa LLC
Primary Specialty: Chiropractor
Enumeration Date: Jun 16, 2016
Last Updated: Jun 16, 2016

Practice Location

Address: 4525 HERITAGE TRACE PKWY
Address 2: SUITE 101
City: Fort Worth
State: Texas
ZIP Code: 76244-8908
Phone: (817) 431-5100

Authorized Official

Name: DR. JESSE JACOBS, D.C.
Title: OWNER
Phone: (214) 636-6906

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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