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Individual

KENNETH ROSS METCALF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
METCALF CHIROPRACTIC CENTER, 3201 PIONEERS BLVD. STE #32, LINCOLN, NE 68502-5963
(402) 486-1212
(402) 484-8532
Mailing address
METCALF CHIROPRACTIC CENTER, 3201 PIONEERS BLVD. STE #32, LINCOLN, NE 68502-5963
(402) 486-1212
(402) 484-8532

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
869
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09671
BLUE CROSS-BLUE SHIELD
NE
05
47-068526200
NE
Enumeration date
10/23/2006
Last updated
07/08/2007
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