Individual
KENNETH MICHAEL DUDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1021 W BUCHANAN ST STE 17, CALIFORNIA, MO 65018-1238
(573) 796-8150
(573) 796-8140
Mailing address
1021 W BUCHANAN ST STE 17, CALIFORNIA, MO 65018-1238
(573) 796-8150
(573) 796-8140
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006298
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
245812
HEALTHLINK
MO
01
—
31977
BLUECROSS BLUESHIELD
MO
01
—
610798
AMERICAN CHIROPRACTIC NET
MO
Enumeration date
11/04/2006
Last updated
07/08/2007
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