Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 11018 | FL |
NPI | 1003233651 |
---|---|
Provider Name | Kieron Parchment |
First Address | Hollywood, FL 33020-4919 |
Second Address | Margate, FL 33068-5703 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2014 |
Last Update Date | 20/03/2014 |