Organization
DULLENTY CHIROPRACTIC FAMILY WELLNESS CENTER, LLC
Active
Other names
Adkins Chiropractic, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY REBEKAH WILKERSON-DULLENTY D.C. (OWNER/DOCTOR)
(573) 785-2225
Entity
Organization
Contact information
Practice address
805 W PINE ST, POPLAR BLUFF, MO 63901-4956
(573) 785-2225
(573) 355-5401
Mailing address
805 W PINE ST, POPLAR BLUFF, MO 63901-4956
(573) 785-2225
(573) 355-5401
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2011039215
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952588956
PERSONAL NPI
MO
Enumeration date
07/14/2009
Last updated
06/25/2014
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