DR. Kristopher Wade Wakefield, D.C.

NPI #1154356285 in Bushnell, Illinois

Provider Information

NPI Number: 1154356285
Entity Type: Individual
Name: DR. Kristopher Wade Wakefield, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Jul 11, 2006
Last Updated: Oct 1, 2007

Practice Location

Address: 448 COLE ST
City: Bushnell
State: Illinois
ZIP Code: 61422-1540
Phone: (309) 772-2317

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary
Chiropractor - Radiology — Radiology	111NR0200X

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