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Organization
KENNETH G. WOLF, D.C., L.L.C.
Active
Organization
KENNETH G. WOLF, D.C., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH GERARD WOLF D.C. (OWNER)
(314) 707-5575
Entity
Organization
Contact information
Practice address
510 BAXTER RD, SUITE #8, CHESTERFIELD, MO 63017-7032
(314) 707-5575
(636) 207-6631
Mailing address
12201 FOXPOINT DR, MARYLAND HEIGHTS, MO 63043-2109
(314) 707-5575
(636) 207-6631
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2006003308
MO
Other
Enumeration date
09/14/2006
Last updated
07/28/2007
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