Individual
KENNETH ERVIN THIELKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
929 WINCHESTER AVE, ASHLAND, KY 41101-7446
(606) 324-1619
Mailing address
929 WINCHESTER AVE, ASHLAND, KY 41101-7446
(606) 324-1619
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2309
KY
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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