Individual
DR. CHANCELLOR PALMER WAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
913 SAINT FRANCIS ST, KENNETT, MO 63857-1779
(573) 888-8840
(573) 888-4860
Mailing address
913 SAINT FRANCIS ST, KENNETT, MO 63857-1779
(573) 888-8840
(573) 888-4860
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6790
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
755337805
—
MO
Enumeration date
11/07/2006
Last updated
01/02/2012
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