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Individual

DR. MICHAEL KENNETH EVERETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
519 WILLOW RD, WALNUTPORT, PA 18088-9653
(610) 760-1700
(610) 760-1757
Mailing address
519 WILLOW RD, WALNUTPORT, PA 18088-9653
(610) 760-1700
(610) 760-1757

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC005640L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0525470
AETNA
PA
01
1436999
HIGHMARK BLUE SHIELD
PA
01
50022061
CAPITAL BLUE CROSS
PA
01
O36999
AMERIHEALTH
PA
Enumeration date
01/08/2007
Last updated
06/30/2010
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