Provider Demographics
NPI:1396157160
Name:KJL NATURAL HEALING INC.
Entity type:Organization
Organization Name:KJL NATURAL HEALING INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:LALONDE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:781-934-0943
Mailing Address - Street 1:42 TREMONT ST
Mailing Address - Street 2:SUITE 10B
Mailing Address - City:DUXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02332-5300
Mailing Address - Country:US
Mailing Address - Phone:781-934-0943
Mailing Address - Fax:781-934-0944
Practice Address - Street 1:42 TREMONT ST
Practice Address - Street 2:SUITE 10B
Practice Address - City:DUXBURY
Practice Address - State:MA
Practice Address - Zip Code:02332-5300
Practice Address - Country:US
Practice Address - Phone:781-934-0943
Practice Address - Fax:781-934-0944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-28
Last Update Date:2014-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA789111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty