Kandice Joette Wommack in Benton - Chiropractor
Kandice Joette Wommack - NPI 1467484980
Kandice Joette Wommack is a Chiropractor in Benton, Kentucky. Kandice Joette Wommack practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Kandice Joette Wommack is 1467484980. The last update date is 2017-10-16.
Kandice Joette Wommack's current location address is 142 Vine St, Benton, Kentucky. You can contact this provider via phone number 2705270000 and fax number 2705272121. The mailing address for Kandice Joette Wommack is 142 Vine St, Benton, Kentucky. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kandice Joette Wommack |
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Address | 142 Vine St, Benton, Kentucky |
Phone Number | 2705270000 |
Fax Number | 2705272121 |
Sole Proprietor | Y |
Credentials | D.C. |
NPI Number Detail
NPI Number | 1467484980 |
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Provider Enumeration Date | 2006-07-07 |
Last Updated Date | 2017-10-16 |
Provider Mailing Address Detail
Address | 142 Vine St |
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City | Benton |
State | Kentucky (KY) |
Post Code | 420257472 |
Phone Number | 2705270000 |
Fax Number | 2705272121 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
Licence No | 4556 |
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
614099 | KY | ACN | |
44-00390 | KY | UHC | |
7670104 | KY | AETNA | |
77520 | KY | ANTHRM BCBS | |
350052669 | KY | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the Kandice Joette Wommack's unique identification number?
The Kandice Joette Wommack has been assigned the NPI (National Provider Identifier) Number 1467484980 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Kandice Joette Wommack is physically located?
The Kandice Joette Wommack is physically situated at the following address: 142 Vine St, Benton, KY, 420257472.
What is Kandice Joette Wommack's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kandice Joette Wommack is Chiropractor, and the corresponding taxonomy classification code for this specialized field is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1467484980 to Kandice Joette Wommack?
The Centers for Medicare & Medicaid Services assigned the 1467484980 to Kandice Joette Wommack on 2006-07-07.
When was the information regarding Kandice Joette Wommack most recently updated?
The details pertaining to the Kandice Joette Wommack, including its address, specialty, and other relevant information, were last refreshed on 2017-10-16.