Individual
DR. KENNETH CASEY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1101 MAIN STREET, SUITE 208, EVANSTON, WY 82930
(307) 444-7773
Mailing address
P.O. BOX 483, MT. VIEW, WY 82939-0483
(307) 444-7773
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
698
WY
Other
Enumeration date
12/15/2009
Last updated
09/28/2010
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