Organization
EGNER CHIROPRACTIC AND REHABILITATION CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE DARYL EGNER D.C. (MANAGING MEMBER)
(270) 703-7431
Entity
Organization
Contact information
Practice address
619 OLD SYMSONIA RD, BENTON, KY 42025-5042
(270) 527-0880
(270) 527-0505
Mailing address
PO BOX 1097, BENTON, KY 42025-1097
(270) 527-0880
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5100
KY
Other
Enumeration date
02/04/2008
Last updated
04/23/2010
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