Individual
DR. KENNETH RAY STILLWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4537 YAKIMA AVE, TACOMA, WA 98418-4929
(253) 475-3334
(253) 475-0875
Mailing address
4537 YAKIMA AVE, TACOMA, WA 98418-4929
(253) 475-3334
(253) 475-0875
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00001328
WA
Other
Enumeration date
01/08/2008
Last updated
01/15/2008
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