Individual
DR. DERREK WESLEY STUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1003 N WILSON RD, SUITE A, RADCLIFF, KY 40160-1475
(270) 352-4444
(270) 352-4445
Mailing address
608 FOXFIRE RD, ELIZABETHTOWN, KY 42701-9412
(270) 352-4444
(270) 352-4445
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5374
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12479949
CAQH
KY
Enumeration date
12/10/2012
Last updated
03/19/2015
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