Individual
DR. KENNETH GERARD BURLE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
422 W LOVE ST, MEXICO, MO 65265-2704
(573) 581-0381
(573) 581-0381
Mailing address
422 W LOVE ST, MEXICO, MO 65265-2704
(573) 581-0381
(573) 581-0381
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2007021191
MO
111NR0400X
Rehabilitation Chiropractor
2007021191
MO
Other
Enumeration date
11/07/2006
Last updated
08/31/2007
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