Individual
DR. KENNETH B SHOTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
118 E HALLER, ARLINGTON, WA 98223-9131
(360) 435-2222
Mailing address
PO BOX 616, ARLINGTON, WA 98223-0501
(360) 435-2222
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00001854
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24616
DEPT L&I PROVIDER #
WA
Enumeration date
04/23/2007
Last updated
12/15/2008
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