Omniwell, LLC

NPI #1093118267 in Plano, Texas

Provider Information

NPI Number: 1093118267
Entity Type: Organization
Organization Name: Omniwell, LLC
Primary Specialty: Chiropractor
Enumeration Date: Oct 2, 2014
Last Updated: Oct 2, 2014

Practice Location

Address: 7713 SAN JACINTO PL
Address 2: SUITE 100
City: Plano
State: Texas
ZIP Code: 75024-3215
Phone: (913) 439-9645

Authorized Official

Name: DR. KYLE WESLEY JENSEN, D.C.
Title: CHIROPRACTOR
Phone: (913) 439-9645

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X
Chiropractor	111N00000X	Primary

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