Individual
KENNETH ERIC TRYGGESTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
800 COLUMBIANA DR STE 100, STE. H, IRMO, SC 29063-7782
(803) 781-8100
(803) 781-7200
Mailing address
PO BOX 1817, IRMO, SC 29063-1817
(803) 319-1774
(803) 661-9221
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3401
SC
Other
Enumeration date
11/01/2006
Last updated
05/09/2011
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