Individual
DR. TANNER EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
110B E 5TH ST, BENTON, KY 42025-1118
(270) 703-7074
Mailing address
25 LONGACRE LN, BENTON, KY 42025-7878
(270) 703-7074
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
261355
KY
Other
Enumeration date
01/06/2020
Last updated
03/09/2020
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