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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. RICHARD KIM ETHEREDGE, DC

Active

MR. RICHARD KIM ETHEREDGE, DC is a Chiropractor healthcare provider located in FRUITLAND PARK, Florida. NPI 1780795294 is currently active in the NPPES registry. Verify at CMS.

Chiropractor · FRUITLAND PARK, FL

Registration Details

NPI Number
1780795294
Provider Type
Individual
Gender
Male
NPI Issued
Aug 31, 2006 (19.931569301416 yrs)
Last Updated
Feb 16, 2012
License
CH5758 (FL)

Practice Information

Address
3261 US HIGHWAY 441/27
FRUITLAND PARK, FL, 347314497
Browse FL providers · Browse ZIP 34731
Phone
3523651191
Fax
3523650330
Primary Specialty
Chiropractor
111N00000X

Other Chiropractor Providers in FRUITLAND PARK, FL

Name Credential NPI
DR. DAVID MICHAEL AYRIS D.C. 1689893968
DR. JENNIFER NASRIN PAUL D.C. 1184989295
DR. MATTHEW JOSEPH UHRIK D.C., M.S., M.S. 1194267278
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.