# DR. SUNNY KIERSTYN INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053748343
- **Authorized official:** SUNNY KIERSTYN RN, DC (OWNER)
- **Authorized official phone:** (541) 654-0850

## Contact information

- **Practice address:** 1663 HIGH ST, EUGENE, OR 97401-4113
- **Practice address phone:** (541) 654-0850
- **Practice address fax:** (541) 654-0834
- **Mailing address:** 1663 HIGH ST, EUGENE, OR 97401-4113
- **Mailing address phone:** (541) 654-0850
- **Mailing address fax:** (541) 654-0834

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN1001X | Nutrition Chiropractor | 3035 | OR | Yes |

## Other

- **Enumeration date:** 10/01/2013
- **Last updated:** 11/01/2014