Organization
DELU CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH ALEX DELU D.C. (DOCTOR/OWNER)
(209) 333-8690
Entity
Organization
Contact information
Practice address
1420 W KETTLEMAN LN, B2, LODI, CA 95242-4557
(209) 333-8690
(209) 333-8692
Mailing address
1420 W KETTLEMAN LN, B2, LODI, CA 95242-4557
(209) 333-8690
(209) 333-8692
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC19755
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0197550
PTAN
CA
Enumeration date
01/28/2015
Last updated
01/28/2015
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