# DR. WINFRED DARRELL PETREY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1700068731
- **Gender:** Man
- **Credential:** D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 0104395 | KS | — |
| 111N00000X | Chiropractor | 1648 | AL | Yes |

## Other

- **Enumeration date:** 11/30/2007
- **Last updated:** 03/10/2020