Individual
KENNETH G EDINGTON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
801 S. 70TH ST., WEST ALLIS, WI 53214
(414) 773-6600
Mailing address
801 S. 70TH ST., WEST ALLIS, WI 53214
(414) 773-6600
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2279
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38850500
—
WI
Enumeration date
09/15/2006
Last updated
07/08/2007
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