Individual
DR. KENNETH GERARD MULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5408 DISCOVERY PARK BLVD, SUITE 200, WILLIAMSBURG, VA 23188-2893
(757) 220-8552
(757) 220-0162
Mailing address
5408 DISCOVERY PARK BLVD, SUITE 200, WILLIAMSBURG, VA 23188-2893
(757) 220-8552
(757) 220-0162
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000597
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54-1875990
TAX ID
VA
Enumeration date
08/13/2006
Last updated
11/29/2012
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