Individual
DR. KENN E IVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC PC
Contact information
Practice address
1008 10TH ST SE, JAMESTOWN, ND 58401-7207
(701) 252-2424
(701) 252-3205
Mailing address
1008 10TH ST SE, JAMESTOWN, ND 58401-7207
(701) 252-2424
(701) 252-3205
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
733
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12894
—
ND
01
—
25654
BLUE CROSS OF NORTH DAKOT
ND
Enumeration date
09/29/2006
Last updated
08/01/2024
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