MR. Richard Kim Etheredge, DC

NPI #1780795294 in Fruitland Park, Florida

Provider Information

NPI Number: 1780795294
Entity Type: Individual
Name: MR. Richard Kim Etheredge, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Aug 31, 2006
Last Updated: Feb 16, 2012

Practice Location

Address: 3261 US HIGHWAY 441/27
City: Fruitland Park
State: Florida
ZIP Code: 34731-4497
Phone: (352) 365-1191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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