Individual provider · Type 1 NPI
Kevin Waterloo, DC
Chiropractor · Jonesboro, AR
NPI number
1720486699
Active
Practice location
2317 E Matthews Ave
Jonesboro, AR 72401-4415
Fax (870) 520-6353
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | DC010974 (PA) |
| Chiropractor Primary | 111N00000X | 16266 (AR) |
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 1720486699
Kevin Waterloo, DC's National Provider Identifier is 1720486699, issued on Dec 9, 2014. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Jonesboro, AR. The record was last updated on Oct 23, 2024.