Provider Demographics
NPI:1427405927
Name:KAHOOK CHIROPRACTIC AND WELLNESS CENTER INC
Entity Type:Organization
Organization Name:KAHOOK CHIROPRACTIC AND WELLNESS CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAHOOK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-261-4242
Mailing Address - Street 1:1701 MANGO CIR
Mailing Address - Street 2:
Mailing Address - City:LAKE CLARKE SHORES
Mailing Address - State:FL
Mailing Address - Zip Code:33406-5258
Mailing Address - Country:US
Mailing Address - Phone:561-261-4242
Mailing Address - Fax:
Practice Address - Street 1:409 S DIXIE HWY
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33460-4442
Practice Address - Country:US
Practice Address - Phone:561-582-5433
Practice Address - Fax:561-585-0074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-16
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty