Individual provider · Type 1 NPI
Richard Kim Etheredge, DC
Chiropractor · Fruitland Park, FL
Practice location
3261 US Highway 441/27
Fruitland Park, FL 34731-4497
Fax (352) 365-0330
Mailing address
3261 US Highway 27/441
Fruitland Park, FL 34731-4497
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CH5758 (FL) |
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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About NPI 1780795294
Richard Kim Etheredge, DC's National Provider Identifier is 1780795294, issued on Aug 31, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Fruitland Park, FL. The record was last updated on Feb 16, 2012.