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KENNETH GLENN EDWARDS D.C.

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1811046543

Individual Registrant:
 KENNETH GLENN EDWARDS D.C.
Gender: M
Sole Proprietor

Location and contact information for practice:
1602 20TH AVE  PHENIX CITY, AL 36867-3714 US
Tel: 334-297-2225  Fax: 334-480-9758

Contact information for business:
1602 20TH AVE  PHENIX CITY, AL 36867-3714 US
Tel: 334-297-2225  Fax: 334-480-9758

Registration Information:
NPI: 1811046543
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
AL829

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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