Individual
DR. DEREK OLDENKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
205 COLUMBIA AVE, GLASGOW, KY 42141-2931
(279) 651-8340
Mailing address
93 CLUBHOUSE LN, GLASGOW, KY 42141-7801
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4886
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85003218
—
KY
Enumeration date
01/08/2007
Last updated
07/08/2007
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