CHARLES LEON BOULTON

LA CENTER, KY
NPI1801163522
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111N00000X Chiropractor
(Licence: KY  3628 R)
Enumeration Date2011-11-23
Last Update Date2011-11-23
Business Address
Dr. CHARLES LEON BOULTON DC
245 BROADWAY
LA CENTER, KY 42056
Phone number: 270-665-5568
Mailing Address
Dr. CHARLES LEON BOULTON DC
PO BOX 805 245 BROADWAY
LA CENTER, KY 42056
Phone number: 270-665-5568