Individual
DR. KENNETH ROBERT BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
TORINGDON MEDICAL PLAZA 1, 12311 COPPER WAY SUITE 100, CHARLOTTE, NC 28277
(704) 641-5975
Mailing address
8505 HIGHGROVE ST, CHARLOTTE, NC 28277-2827
(704) 540-9073
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2310
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890826E
—
NC
Enumeration date
09/27/2006
Last updated
07/08/2007
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