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Mr. Richard Kim Etheredge, DC
Chiropractor in Fruitland Park, Florida
NPI 1780795294

Richard Kim Etheredge is a Chiropractor based in Fruitland Park, FL. Richard Kim Etheredge practices in Fruitland Park, FL and has the professional credentials of DC. The NPI Number for Richard Kim Etheredge is 1780795294 and holds a License No. CH5758 (Florida).

The current practice location address for Richard Kim Etheredge is 3261 Us Highway 441/27, Fruitland Park, FL and can be reached out via phone at 352-365-1191 and via fax at 352-365-0330.

Location: 3261 Us Highway 441/27, Fruitland Park, FL, 34731-4497
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780795294
Provider Name
Richard Kim Etheredge
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
3261 Us Highway 441/27, Fruitland Park, FL, 34731-4497
Phone Number
352-365-1191
Fax Number
352-365-0330
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
22261 01 FL BC
380121700 05 FL
institution
Provider Business Practice Location Address Details
Address
3261 Us Highway 441/27
City
Fruitland Park
State
Florida
Zip
34731-4497
Phone Number
352-365-1191
Fax Number
352-365-0330
person
Provider Business Mailing Address Details
Address
3261 Us Highway 441/27
City
Fruitland Park
State
Florida
Zip
34731-4497
Phone Number
352-365-1191
Fax Number
352-365-0330
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CH5758 (Florida)
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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