Individual provider · Type 1 NPI
Kevin Patrick Ruddell, DC
Chiropractor · Lewiston, ID
NPI number
1013072669
Active
Practice location
1117 16th Avenue
Lewiston, ID 83501
Fax (208) 743-8722
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CHIR 725 (ID) |
Chiropractor: 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 interrelationship with other body systems.
Another provider at this address
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- R James Johnson, DCChiropractor Lewiston, ID NPI 1760488712
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About NPI 1013072669
Kevin Patrick Ruddell, DC's National Provider Identifier is 1013072669, issued on Dec 26, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Lewiston, ID. The record was last updated on Jul 8, 2007.