Individual
KEVIN JAMES WADLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
101 SETTLERS CENTER RD, TAYLORSVILLE, KY 40071-7732
(502) 477-5000
(502) 477-5005
Mailing address
101 SETTLERS CENTER RD, TAYLORSVILLE, KY 40071-7732
(502) 477-5000
(502) 477-5005
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4328
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1065686
PASSPORT
KY
05
—
85043289
—
KY
Enumeration date
09/27/2005
Last updated
11/14/2007
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