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Organization
DR KIA VANDUSEN MCCULLEN DC PA
Active
Organization
DR KIA VANDUSEN MCCULLEN DC PA
Active
Other names
Gentle Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIA MCCULLEN DC (CHIROPRACTOR-OWNER)
(727) 744-8787
Entity
Organization
Contact information
Practice address
1264 COUNTY ROAD 1, DUNEDIN, FL 34698-4610
(727) 744-8787
(727) 738-5888
Mailing address
1264 COUNTY ROAD 1, DUNEDIN, FL 34698-4610
(727) 744-8787
(727) 738-5888
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH4654
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381858600
—
FL
01
—
70732
BLUE CROSS BLUE SHIELD
—
Enumeration date
12/12/2006
Last updated
03/26/2009
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