Individual provider · Type 1 NPI

Kelly Grace Wynkoop, DC

Chiropractor · Manhattan Beach, CA

NPI number 1184404196 Active

Practice location

400 S Sepulveda Blvd Ste 247
Manhattan Beach, CA 90266-6876

Call (310) 798-6496 Map

Mailing address

936 1st St Apt 2
Hermosa Beach, CA 90254-5365

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X36764 (CA)

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 1184404196

Kelly Grace Wynkoop, DC's National Provider Identifier is 1184404196, issued on Oct 5, 2023. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Manhattan Beach, CA. The record was last updated on Oct 5, 2023.