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Individual
KENNETH MICHAEL DUDLEY
Active
Individual
KENNETH MICHAEL DUDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006298
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
245812
HEALTHLINK
MO
01
—
31977
BLUECROSS BLUESHIELD
MO
01
—
610798
AMERICAN CHIROPRACTIC NET
MO
Enumeration date
11/04/2006
Last updated
07/08/2007
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