Ktw Wellness LLC

NPI #1932924941 in Upper Marlboro, Maryland

Provider Information

NPI Number: 1932924941
Entity Type: Organization
Organization Name: Ktw Wellness LLC
Subpart: Yes (part of a larger organization)
Parent Organization: KTW WELLNESS LLC
Primary Specialty: Chiropractor
Enumeration Date: Nov 15, 2024
Last Updated: Nov 15, 2024

Practice Location

Address: 9500 MEDICAL CENTER DR STE 436
City: Upper Marlboro
State: Maryland
ZIP Code: 20774-3716
Phone: (240) 271-2626

Authorized Official

Name: DR. KENYA WHITE, D.C.
Title: CHIROPRACTOR
Phone: (240) 271-2626

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor - Independent Medical Examiner — Independent Medical Examiner	111NI0013X
Chiropractor - Neurology — Neurology	111NN0400X
Chiropractor - Nutrition — Nutrition	111NN1001X
Chiropractor - Pediatric Chiropractor — Pediatric Chiropractor	111NP0017X
Chiropractor - Radiology — Radiology	111NR0200X
Chiropractor - Rehabilitation — Rehabilitation	111NR0400X
Chiropractor - Sports Physician — Sports Physician	111NS0005X
Chiropractor	111N00000X	Primary

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