Organization
BALANCED HEALTH CHIROPRACTIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY KUKA D.C. (OWNER)
(763) 557-7399
Entity
Organization
Contact information
Practice address
12805 STATE HIGHWAY 55, SUITE 208, PLYMOUTH, MN 55441
(763) 557-7399
Mailing address
12805 STATE HIGHWAY 55, SUITE 208, PLYMOUTH, MN 55441
(763) 557-7399
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4632
MN
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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