Organization
KENNETH G. WOLF, D.C., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH GERARD WOLF D.C. (OWNER)
(314) 707-5575
Entity
Organization
Contact information
Practice address
510 BAXTER RD, SUITE #8, CHESTERFIELD, MO 63017-7032
(314) 707-5575
(636) 207-6631
Mailing address
12201 FOXPOINT DR, MARYLAND HEIGHTS, MO 63043-2109
(314) 707-5575
(636) 207-6631
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2006003308
MO
Other
Enumeration date
09/14/2006
Last updated
07/28/2007
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