Individual
DR. KENNETH JOHN YORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5401 DOUGLAS AVE, RACINE, WI 53402-2034
(262) 884-0484
(262) 681-8830
Mailing address
5401 DOUGLAS AVE, RACINE, WI 53402-2034
(262) 884-0484
(262) 681-8830
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2002
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38792200
—
WI
Enumeration date
12/04/2006
Last updated
07/08/2007
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