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Kenneth W Padgett, DC
Chiropractor in Waterloo, New York
NPI 1558393603

Kenneth W Padgett is a Chiropractor based in Waterloo, NY. Kenneth W Padgett practices in Waterloo, NY and has the professional credentials of DC. The NPI Number for Kenneth W Padgett is 1558393603 and holds a License No. X0002701 (New York).

The current practice location address for Kenneth W Padgett is 2374 Mound Rd Rte 414, Waterloo, NY and can be reached out via phone at 315-539-3262 and via fax at 315-539-5221.

Location: 2374 Mound Rd Rte 414, Waterloo, NY, 13165
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558393603
Provider Name
Kenneth W Padgett
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
2374 Mound Rd Rte 414, Waterloo, NY, 13165
Phone Number
315-539-3262
Fax Number
315-539-5221
Provider Enumeration Date
07/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
50057 01 BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
2374 Mound Rd Rte 414
City
Waterloo
State
New York
Zip
13165
Phone Number
315-539-3262
Fax Number
315-539-5221
person
Provider Business Mailing Address Details
Address
2374 Mound Rd Rte 414
City
Waterloo
State
New York
Zip
13165
Phone Number
315-539-3262
Fax Number
315-539-5221
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
X0002701 (New York)
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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