Individual
DR. KENNETH WAYNE PITKIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
101 W 2ND ST, STE 150, DIXON, IL 61021
(815) 288-7911
(815) 288-6387
Mailing address
101 W 2ND ST, STE 207, DIXON, IL 61021-3050
(815) 288-7911
(815) 288-6387
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038007454
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05227552
BCBS
IL
05
—
38007454
—
IL
Enumeration date
04/28/2006
Last updated
01/24/2017
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