Individual
DR. CHARLES LEON BOULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
245 BROADWAY, LA CENTER, KY 42056
(270) 665-5568
(270) 665-5568
Mailing address
PO BOX 805, 245 BROADWAY, LA CENTER, KY 42056
(270) 665-5568
(270) 665-5568
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3628 R
KY
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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