Provider Demographics
NPI:1669652574
Name:KEY CENTER CHIROPRACTIC PS INC
Entity Type:Organization
Organization Name:KEY CENTER CHIROPRACTIC PS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:KRYMPEC
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:253-884-3040
Mailing Address - Street 1:9013 KEY PENINSULA HWY N
Mailing Address - Street 2:
Mailing Address - City:LAKEBAY
Mailing Address - State:WA
Mailing Address - Zip Code:98349-8518
Mailing Address - Country:US
Mailing Address - Phone:253-884-3040
Mailing Address - Fax:253-884-3040
Practice Address - Street 1:9013 KEY PENINSULA HWY N
Practice Address - Street 2:
Practice Address - City:LAKEBAY
Practice Address - State:WA
Practice Address - Zip Code:98349-8518
Practice Address - Country:US
Practice Address - Phone:253-884-3040
Practice Address - Fax:253-884-3040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-07
Last Update Date:2014-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00002054111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAGAB28417Medicare PIN