# BEDOGNE CHIROPRACTIC LLC

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

## Provider details

- **NPI number:** 1801082813
- **Authorized official:** LISA VOLTZ (OFFICE MANAGER)
- **Authorized official phone:** (262) 657-8434

## Contact information

- **Practice address:** 618 55TH ST, KENOSHA, WI 53140-3753
- **Practice address phone:** (262) 657-8434
- **Mailing address:** 618 55TH ST, KENOSHA, WI 53140-3753
- **Mailing address phone:** (262) 657-8434

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 2628-012 | WI | Yes |

## Other

- **Enumeration date:** 09/24/2007
- **Last updated:** 01/13/2009