DR. Charles Leon Boulton, DC

NPI #1801163522 in La Center, Kentucky

Provider Information

NPI Number: 1801163522
Entity Type: Individual
Name: DR. Charles Leon Boulton, DC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Nov 23, 2011
Last Updated: Nov 23, 2011

Practice Location

Address: 245 BROADWAY
City: La Center
State: Kentucky
ZIP Code: 42056
Phone: (270) 665-5568

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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