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Individual

DR. KENNETH ROY MONGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1327 HWY 160B, BAYFIELD, CO 81122
(970) 884-2082
(970) 884-2963
Mailing address
PO BOX 532, BAYFIELD, CO 81122
(970) 884-2082
(970) 884-2963

Taxonomy

Speciality
Code
Description
License number
State
111NP0017X
Pediatric Chiropractor
Primary
6265
CO

Other

Enumeration date
08/06/2008
Last updated
08/26/2009
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