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Individual

DR. KENNETH LOUIS GUZIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
403 W TEMPERANCE ST, BOX 605, ELLETTSVILLE, IN 47429
(812) 876-6847
(812) 876-8135
Mailing address
403 W TEMPERANCE ST, BOX 605, ELLETTSVILLE, IN 47429-1431
(812) 876-6847
(812) 876-8135

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08000775A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000210750
BC BS
IN
01
350052957
RAILROAD MEDICARE
IN
Enumeration date
01/04/2007
Last updated
06/28/2018
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