DR. Mackenzie Alexander Kolt, DC

NPI #1427514009 in West Los Angeles, California

Provider Information

NPI Number: 1427514009
Entity Type: Individual
Name: DR. Mackenzie Alexander Kolt, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Feb 19, 2019
Last Updated: Feb 19, 2019

Practice Location

Address: 12217 SANTA MONICA BLVD STE 208
City: West Los Angeles
State: California
ZIP Code: 90025-2589
Phone: (310) 447-3540

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary
Chiropractor - Rehabilitation — Rehabilitation	111NR0400X

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