Individual
DR. BRADLEY S CAVNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1226 INDEPENDENCE AVE, KENNETT, MO 63857-1316
(573) 888-9990
(573) 888-9993
Mailing address
1226 INDEPENDENCE AVE, KENNETT, MO 63857-1316
(573) 888-9990
(573) 888-9993
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2004003313
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
191799
BLUE CROSS BLUE SHIELD
MO
01
—
2236748
FIRST HEALTH NETWORK
MO
Enumeration date
06/10/2005
Last updated
10/16/2008
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