Individual
KENNETH GLENN EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1602 20TH AVE, PHENIX CITY, AL 36867-3714
(334) 297-2225
(334) 480-9758
Mailing address
1602 20TH AVE, PHENIX CITY, AL 36867-3714
(334) 297-2225
(334) 480-9758
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
829
AL
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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