Whalio Doctors

NPI 1467484980

Kandice Joette Wommack, DC

Practitioner Chiropractor Benton, KY

Practice location

Address
142 Vine St, Benton, KY 42025-7472
Phone
(270) 527-0000
Fax
(270) 527-2121

Registered specialties

Chiropractor Primary
Chiropractic Providers Taxonomy 111N00000X Licence 4556 (KY)

Registry record

NPI
1467484980
Entity type
Individual
Sex (as registered)
Female
NPI issued
7 Jul 2006
Record last updated
16 Oct 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.