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Individual

JASON KIRKHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
112 ELIZABETH LN UNIT B, GENOA CITY, WI 53128-2120
(262) 348-6256
Mailing address
19704 DUNHAM RD, WOODSTOCK, IL 60098-9110
(815) 341-2802

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6252-12
WI

Other

Enumeration date
12/29/2025
Last updated
12/29/2025
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