Individual
KENNETH ROBERT VANDYKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1808 LONGFITT ST, RICHLAND, WA 99352-3719
(360) 949-9890
Mailing address
1808 LONGFITT ST, RICHLAND, WA 99352-3719
(360) 949-9890
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH60655952
WA
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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