Individual
KENNETH WAYNE TRAPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5600 PACIFIC AVE SE, LACEY, WA 98503-1258
(360) 493-2000
(360) 493-2437
Mailing address
5600 PACIFIC AVE SE, LACEY, WA 98503-1258
(360) 493-2000
(360) 493-2437
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002178
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2010791
—
WA
01
—
TR0129
REGENCE BLUE SHIELD
WA
Enumeration date
04/21/2006
Last updated
01/07/2008
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