NPI 1023828266
Kmgo Enterprises PLLC
Practice location
- Address
- 1271 Steamboat Dr. Suite 1, Fayetteville, AR 72704
- Phone
- (479) 435-6834
- Fax
- (509) 694-8932
Authorised official
- Name
- Kevin Waterloo
- Title
- President / Owner
- Phone
- (479) 435-6834
Registered specialties
Chiropractor
Primary
Registry record
- NPI
- 1023828266
- Entity type
- Organization
- NPI issued
- 9 Jan 2025
- Record last updated
- 9 Jan 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.