Individual
KARL CLAYTON BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
121 S KANAWHA ST, BUCKHANNON, WV 26201
(304) 472-7161
(304) 472-2294
Mailing address
121 S KANAWHA ST, BUCKLANNON, WV 26201
(304) 472-7161
(304) 472-2294
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
332
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000143921
BCBS
WV
05
—
013145000
—
WV
01
—
1069589
WORKERS COMP
WV
Enumeration date
10/03/2006
Last updated
10/12/2012
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