Chan Chiropractic Clinic, P.s.

NPI #1235255662 in Kennewick, Washington

Provider Information

NPI Number: 1235255662
Entity Type: Organization
Organization Name: Chan Chiropractic Clinic, P.s.
Primary Specialty: Chiropractor
Enumeration Date: Mar 21, 2007
Last Updated: Feb 15, 2008

Practice Location

Address: 4339 W KENNEWICK AVE
City: Kennewick
State: Washington
ZIP Code: 99336-2802
Phone: (509) 735-0311

Authorized Official

Name: DR. THEODORE W CHAN, DC
Title: PRESIDENT
Phone: (509) 735-0311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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