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Dr. Kevin Patrick Ruddell, DC
Chiropractor in Lewiston, Idaho
NPI 1013072669

Kevin Patrick Ruddell is a Chiropractor based in Lewiston, ID. Kevin Patrick Ruddell practices in Lewiston, ID and has the professional credentials of DC. The NPI Number for Kevin Patrick Ruddell is 1013072669 and holds a License No. CHIR 725 (Idaho).

The current practice location address for Kevin Patrick Ruddell is 1117 16Th Avenue, Lewiston, ID and can be reached out via phone at 208-743-8401 and via fax at 208-743-8722.

Location: 1117 16Th Avenue, Lewiston, ID, 83501
person
Provider Profile Details
NPI Number
1013072669
Provider Name
Kevin Patrick Ruddell
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1117 16Th Avenue, Lewiston, ID, 83501
Phone Number
208-743-8401
Fax Number
208-743-8722
Provider Enumeration Date
12/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000010024191 01 ID REGENCE
0190459 01 DEPT LABOR & INDUSTRIES
C7259 01 ID BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
1117 16Th Avenue
City
State
Zip
83501
Phone Number
208-743-8401
Fax Number
208-743-8722
person
Provider Business Mailing Address Details
Address
1117 16Th Avenue
City
State
Zip
83501
Phone Number
208-743-8401
Fax Number
208-743-8722
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
CHIR 725 (Idaho)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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