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Organization
KERSHEN CHIROPRACTIC PA
Active
Organization
KERSHEN CHIROPRACTIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL RONALD KERSHEN DC (PRESIDENT)
(806) 655-8777
Entity
Organization
Contact information
Practice address
1613 4TH AVE, CANYON, TX 79015-3824
(806) 655-8777
(806) 655-8790
Mailing address
1613 4TH AVE, CANYON, TX 79015-3824
(806) 655-8777
(806) 655-8790
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6700
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0042QP
BCBS
TX
01
—
DQ2549
RAILROAD MEDICARE
TX
Enumeration date
08/31/2006
Last updated
02/25/2013
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