Charles Leon Boulton DC

NPI 1801163522 - Chiropractor - 111N00000X

NPI Details
NPI 1801163522
Gender Male
Enumeration Date 11/23/2011
Last Updated 11/23/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
245 BROADWAY
LA CENTER KY, 42056, US
Phone (270) 665-5568
Fax (270) 665-5568
Business Location
PO BOX 805
245 BROADWAY
LA CENTER KY, 42056, US
Phone (270) 665-5568
Fax (270) 665-5568
Toxanomy
Taxonomy Code 111N00000X
License State Kentucky
License Number 3628 R
Remove 1801163522 NPI Number
 

According to our database, Dr. Charles Leon Boulton DC NPI is 1801163522, taxonomy code is 111N00000X and license number is 3628 R, license state is located at Kentucky. Charles Leon Boulton DC physically located at 245 Broadway, La Center KY, 42056. NPI Number Charles Leon Boulton DC has the Individual type.

Sponsored links

1801163522 NPI number is provided on an as is basis without warranty of any kind. 1801163522 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Leon Boulton DC are for informational purposes only.