Individual
KENNETH P. WINGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1700 N BUTLER AVE, FARMINGTON, NM 87401-6331
(505) 634-9225
(505) 212-1195
Mailing address
1700 N BUTLER AVE, FARMINGTON, NM 87401-6331
(505) 634-9225
(505) 212-1195
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
11626
TX
111N00000X
Chiropractor
Primary
2158
NM
Other
Enumeration date
10/26/2010
Last updated
09/28/2022
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