Individual
DR. JEREMY LYN GOODRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
306 W 8TH ST, WELLINGTON, KS 67152-3923
(620) 326-3611
(620) 326-6939
Mailing address
306 W 8TH ST, WELLINGTON, KS 67152-3923
(620) 326-3611
(620) 326-6939
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-05164
KS
111N00000X
Chiropractor
T-01655
KS
Other
Enumeration date
11/06/2007
Last updated
01/21/2016
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