Individual
DR. KENDALL RAY PAULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3292 N M 33, ROSE CITY, MI 48654-9416
(989) 685-2631
(989) 685-3839
Mailing address
3292 N M 33, P O BOX 27, ROSE CITY, MI 48654-9416
(989) 685-2631
(989) 685-3839
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301006841
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950F550270
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
Enumeration date
08/19/2005
Last updated
03/25/2013
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