NPI 1538810775

Kevin N Rudberg, DC

Practitioner Chiropractor Manchester, MO

Practice location

Address: 134 Enchanted Pkwy STE 104, Manchester, MO 63021-5495
Phone: (636) 277-8888
Mailing address: 1870 Highcrest Dr, Saint Charles, MO 63303-5313

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 2022000751 (MO)

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Registry record

NPI: 1538810775
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jan 2022
Record last updated: 10 Jan 2022

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.