Individual
KENNETH P. SOULSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
909 SOUTH GOLD AVE, DEMING, NM 88030-4754
(575) 546-7331
(575) 546-5380
Mailing address
909 SOUTH GOLD AVE, DEMING, NM 88030-4754
(575) 546-7331
(575) 546-5380
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3800
AZ
111N00000X
Chiropractor
Primary
839
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00132383
RAILROAD MEDICARE PIN
NM
Enumeration date
09/27/2006
Last updated
10/20/2010
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