Provider Demographics
NPI:1669850632
Name:KENNETH CALVIN BRIGGS PLLC
Entity Type:Organization
Organization Name:KENNETH CALVIN BRIGGS PLLC
Other - Org Name:WARNINGER CHIROPRACTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:BRIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-453-0300
Mailing Address - Street 1:1001 SUMMITVIEW AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-3023
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1001 SUMMITVIEW AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-3023
Practice Address - Country:US
Practice Address - Phone:509-453-0300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-11
Last Update Date:2015-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA2659111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty