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Individual

DR. KENNETH WAYNE LATIMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1288 DOW ST, MURFREESBORO, TN 37130-2413
(615) 890-1662
(615) 890-9475
Mailing address
1288 DOW ST, MURFREESBORO, TN 37130-2413
(615) 890-1662
(615) 890-9475

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC 00152
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10835037
CAQH
TN
01
2007913
BCBSTN
TN
Enumeration date
10/03/2006
Last updated
07/08/2007
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