Dr. Kenneth Jordan Estudillo Jr., DC
Chiropractor in San Francisco, CA. Individual provider (NPI-1).
NPI number1124875364
StatusActive
Last updated in NPPESMay 6, 2024
Details
- NPI
- 1124875364
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kenneth Jordan Estudillo Jr.
- Credential
- DC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 6, 2024
- Certification date
- May 5, 2024
- Last updated
- May 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 36760 | CA | Yes |
Practice location
45 Lansing St Apt 412San Francisco, CA 94105-3230
Phone 510-861-8040
Mailing address
45 Lansing St Apt 412San Francisco, CA 94105-3230
Phone 510-861-8040
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