DR. DEREK WADE SNODGRASS D.C. - NPI 1992971600

Q: What is the provider's specialty?

The provider's specialty is Chiropractor with taxonomy code 111N00000X.

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About Dr. Derek Wade Snodgrass D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DEREK WADE SNODGRASS D.C. (NPI 1992971600) is an individual chiropractor in Paducah, Kentucky, licensed in Kentucky (5190) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1992971600

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. DEREK WADE SNODGRASSCredential: D.C.

Location Address2725 JAMES SANDERS BLVD, STEW APaducah, KY 42001-8405

Mailing Address2725 James Sanders Blvd, Ste APaducah, KY 42001-8405 · (270) 554-5114 · Fax (270) 554-5021

Phone(270) 554-5114

Fax(270) 554-5021

Sole ProprietorNo

Enumeration DateMay 2, 2008

Last NPPES UpdateJanuary 9, 20172 updates tracked since enumeration

✔ NPI 1992971600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in KY · 5190

Definition

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.

2725 JAMES SANDERS BLVD, Paducah, KY 42001

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