| Ketner Chiropractic Corp | |
|
301 E 17th St Ste 205, Costa Mesa, CA 92627-4731 | |
| (949) 642-9355 | |
| Not Available |
| Full Name | Ketner Chiropractic Corp |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 301 E 17th St Ste 205, Costa Mesa, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528249927 | NPI | - | NPPES |
| W19565 | Other | CA | MEDICARE PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC 26750 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ketner Chiropractic Corp 276 Victoria St, Costa Mesa, CA 92627-1989 Ph: () - | Ketner Chiropractic Corp 301 E 17th St Ste 205, Costa Mesa, CA 92627-4731 Ph: (949) 642-9355 |
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