Individual provider · Type 1 NPI
Kenneth John Fish, DC
Chiropractor · Gaithersburg, MD
NPI number
1124157516
Active
Practice location
937 Russell Ave Ste B
Gaithersburg, MD 20879-3280
Fax (301) 519-1131
Mailing address
PO Box 2004
Montgomery Village, MD 20886-2004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 01987 (MD) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1124157516
Kenneth John Fish, DC's National Provider Identifier is 1124157516, issued on Mar 3, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Gaithersburg, MD. The record was last updated on Jul 8, 2007.