Kenneth G. Wolf, D.c., L.l.c.

NPI #1336244342 in Chesterfield, Missouri

Provider Information

NPI Number: 1336244342
Entity Type: Organization
Organization Name: Kenneth G. Wolf, D.c., L.l.c.
Primary Specialty: Chiropractor
Enumeration Date: Sep 14, 2006
Last Updated: Jul 28, 2007

Practice Location

Address: 510 BAXTER RD
Address 2: SUITE #8
City: Chesterfield
State: Missouri
ZIP Code: 63017-7032
Phone: (314) 707-5575

Authorized Official

Name: DR. KENNETH GERARD WOLF, D.C.
Title: OWNER
Phone: (314) 707-5575

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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