Individual
KENNETH E MUNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2021 S ONEIDA ST, APPLETON, WI 54915
(920) 735-2828
(920) 735-2981
Mailing address
2021 S ONEIDA ST, APPLETON, WI 54915
(920) 735-2828
(920) 735-2981
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4045
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38955800
—
WI
01
—
391936002008
BCBS
—
Enumeration date
10/02/2006
Last updated
07/09/2007
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