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Individual

KIRK A ABERNATHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
139 SOUTH MAIN STREET, FAYETTE, IA 52142-0578
(563) 425-3341
(563) 425-3342
Mailing address
139 S. MAIN, FAYETTE, IA 52142-0578
(563) 425-3341
(563) 425-3342

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A5607
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0104646
IA
Enumeration date
09/20/2006
Last updated
07/08/2007
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