Individual
DR. KENNETH EUGENE NUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
216 E BREMER AVE, WAVERLY, IA 50677-3434
(319) 352-3103
(319) 352-3104
Mailing address
216 E BREMER AVE, WAVERLY, IA 50677-3434
(319) 352-3103
(319) 352-3104
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06871
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0483149
—
IA
01
—
09356
BLUE SHIELD
IA
Enumeration date
07/19/2006
Last updated
07/08/2007
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