Healthcare Provider Details

I. General information

NPI: 1427405927
Provider Name (Legal Business Name): KAHOOK CHIROPRACTIC AND WELLNESS CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2016
Last Update Date: 06/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

409 S DIXIE HWY
LAKE WORTH FL
33460-4442
US

IV. Provider business mailing address

1701 MANGO CIR
LAKE CLARKE SHORES FL
33406-5258
US

V. Phone/Fax

Practice location:
  • Phone: 561-582-5433
  • Fax: 561-585-0074
Mailing address:
  • Phone: 561-261-4242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH
License Number StateFL

VIII. Authorized Official

Name: DR. KATRINA KAHOOK
Title or Position: CHIROPRACTOR
Credential: D.C.
Phone: 561-261-4242