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Kenneth Michael Dudley, DC
Chiropractor in California, Missouri
NPI 1124107529

Kenneth Michael Dudley is a Chiropractor based in California, MO. Kenneth Michael Dudley practices in California, MO and has the professional credentials of DC. The NPI Number for Kenneth Michael Dudley is 1124107529 and holds a License No. 006298 (Missouri).

The current practice location address for Kenneth Michael Dudley is 1021 W Buchanan St Ste 17, California, MO and can be reached out via phone at 573-796-8150 and via fax at 573-796-8140.

Location: 1021 W Buchanan St Ste 17, California, MO, 65018-1238
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124107529
Provider Name
Kenneth Michael Dudley
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1021 W Buchanan St Ste 17, California, MO, 65018-1238
Phone Number
573-796-8150
Fax Number
573-796-8140
Provider Enumeration Date
11/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
31977 01 MO BLUECROSS BLUESHIELD
610798 01 MO AMERICAN CHIROPRACTIC NET
245812 01 MO HEALTHLINK
institution
Provider Business Practice Location Address Details
Address
1021 W Buchanan St Ste 17
City
California
State
Missouri
Zip
65018-1238
Phone Number
573-796-8150
Fax Number
573-796-8140
person
Provider Business Mailing Address Details
Address
1021 W Buchanan St Ste 17
City
California
State
Missouri
Zip
65018-1238
Phone Number
573-796-8150
Fax Number
573-796-8140
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
006298 (Missouri)
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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