Individual
DR. KEVIN MOORE BARTOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
519 SOUTH BLVD, BARABOO, WI 53913-2865
(608) 356-1761
Mailing address
519 SOUTH BLVD, BARABOO, WI 53913-2865
(608) 356-1761
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1374-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38826400
—
WI
Enumeration date
05/17/2007
Last updated
07/08/2007
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