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Organization
DULLENTY CHIROPRACTIC FAMILY WELLNESS CENTER, LLC
Active
Organization
DULLENTY CHIROPRACTIC FAMILY WELLNESS CENTER, LLC
Active
Other names
Adkins Chiropractic, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY REBEKAH WILKERSON-DULLENTY D.C. (OWNER/DOCTOR)
(573) 785-2225
Entity
Organization
Contact information
Practice address
805 W PINE ST, POPLAR BLUFF, MO 63901-4956
(573) 785-2225
(573) 355-5401
Mailing address
805 W PINE ST, POPLAR BLUFF, MO 63901-4956
(573) 785-2225
(573) 355-5401
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2011039215
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952588956
PERSONAL NPI
MO
Enumeration date
07/14/2009
Last updated
06/25/2014
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