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Individual

KENNETH RAY VANOMMEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
5680 N US HIGHWAY 75, INDEPENDENCE, KS 67301-8008
(620) 331-4737
Mailing address
5680 N US HIGHWAY 75, INDEPENDENCE, KS 67301-8008
(620) 331-4737

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
005068
MO
111N00000X
Chiropractor
Primary
01-05278
KS
111N00000X
Chiropractor
04864
IA

Other

Enumeration date
01/06/2006
Last updated
12/06/2012
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