Provider Demographics
NPI:1851977078
Name:QUEST CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:QUEST CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KYLEE
Authorized Official - Middle Name:
Authorized Official - Last Name:KESSLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:386-682-8869
Mailing Address - Street 1:701 E 3RD AVE STE 5
Mailing Address - Street 2:
Mailing Address - City:NEW SMYRNA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32169-3105
Mailing Address - Country:US
Mailing Address - Phone:386-682-8869
Mailing Address - Fax:386-957-9164
Practice Address - Street 1:701 E 3RD AVE STE 5
Practice Address - Street 2:
Practice Address - City:NEW SMYRNA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32169-3105
Practice Address - Country:US
Practice Address - Phone:386-682-8869
Practice Address - Fax:386-957-9164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-18
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty