Individual
DR. KURT MICHAEL PEPPERELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C,
Contact information
Practice address
3530 W. WILLOW KNOLLS DR, PEORIA, IL 61614
(309) 839-8358
Mailing address
3530 W. WILLOW KNOLLS DR, PEORIA, IL 61614
(309) 839-8358
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-010347
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038-010347
—
IL
Enumeration date
11/16/2005
Last updated
08/19/2014
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