Individual
DR. KENNETH YALE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C. P.C.
Contact information
Practice address
60 W RIDGEWOOD AVE, RIDGEWOOD, NJ 07450-3197
(201) 652-2554
(201) 652-1708
Mailing address
60 W RIDGEWOOD AVE, RIDGEWOOD, NJ 07450-3197
(201) 652-2554
(201) 652-1708
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
NJ1600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P2059267
OXFORD
NJ
Enumeration date
04/24/2007
Last updated
11/21/2011
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