Individual
DR. KENNETH PAUL WIEHE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
WIEHE CHIROPRACTIC, 1202 N MAIN, PARIS, IL 61944-0518
(217) 465-4171
(217) 465-4172
Mailing address
WIEHE CHIROPRACTIC, P O BOX 518 /1202 N MAIN, PARIS, IL 61944
(217) 465-4171
(217) 465-4172
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06082036
BLUE CROSS BLUE SHIELD
IL
Enumeration date
09/27/2005
Last updated
07/09/2007
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