NPI 1861725400

Keystone of Health Chiropractic

Organisation Chiropractor Star, ID

Practice location

Address: 10998 W Box Canyon St, Star, ID 83669-5691
Phone: (563) 676-7984

Authorised official

Name: William Edward Perry
Title: Manager
Phone: (563) 676-7984

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence CHIA-1376 (ID)

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Registry record

NPI: 1861725400
Entity type: Organization
NPI issued: 15 Sep 2009
Record last updated: 15 Sep 2009

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.