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Organization

DR KIA VANDUSEN MCCULLEN DC PA

Active
Other names
Gentle Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KIA MCCULLEN DC (CHIROPRACTOR-OWNER)
(727) 744-8787
Entity
Organization

Contact information

Practice address
1264 COUNTY ROAD 1, DUNEDIN, FL 34698-4610
(727) 744-8787
(727) 738-5888
Mailing address
1264 COUNTY ROAD 1, DUNEDIN, FL 34698-4610
(727) 744-8787
(727) 738-5888

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH4654
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
381858600
FL
01
70732
BLUE CROSS BLUE SHIELD
Enumeration date
12/12/2006
Last updated
03/26/2009
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