Ki LLC

NPI #1184743437 in Lithonia, Georgia

Provider Information

NPI Number: 1184743437
Entity Type: Organization
Organization Name: Ki LLC
Primary Specialty: Chiropractor
Enumeration Date: Mar 28, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 3081 STONE MOUNTAIN ST
City: Lithonia
State: Georgia
ZIP Code: 30058-4426
Phone: (770) 482-1114

Authorized Official

Name: DR. KHAMIS WAJDI IBRAHIM, D.C.
Title: CLINIC DIRECTOR
Phone: (770) 482-1114

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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