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Dr. Kandice Joette Wommack, DC
Chiropractor in Benton, Kentucky
NPI 1467484980

Kandice Joette Wommack is a Chiropractor based in Benton, KY. Kandice Joette Wommack practices in Benton, KY and has the professional credentials of DC. The NPI Number for Kandice Joette Wommack is 1467484980 and holds a License No. 4556 (Kentucky).

The current practice location address for Kandice Joette Wommack is 142 Vine St, Benton, KY and can be reached out via phone at 270-527-0000 and via fax at 270-527-2121.

Location: 142 Vine St, Benton, KY, 42025-7472
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467484980
Provider Name
Kandice Joette Wommack
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
142 Vine St, Benton, KY, 42025-7472
Phone Number
270-527-0000
Fax Number
270-527-2121
Provider Enumeration Date
07/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
614099 01 KY ACN
44-00390 01 KY UHC
7670104 01 KY AETNA
000000077520 01 KY ANTHRM BCBS
350052669 01 KY RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
142 Vine St
City
Benton
State
Kentucky
Zip
42025-7472
Phone Number
270-527-0000
Fax Number
270-527-2121
person
Provider Business Mailing Address Details
Address
142 Vine St
City
Benton
State
Kentucky
Zip
42025-7472
Phone Number
270-527-0000
Fax Number
270-527-2121
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
4556 (Kentucky)
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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