Individual
DR. LANCE EDWARD KJENDALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1229 N LIMA RD, KENDALLVILLE, IN 46755
(260) 347-1637
Mailing address
1229 N LIMA RD, PO BOX 159, KENDALLVILLE, IN 46755
(260) 347-1637
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001989A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000203325
ANTHEM
IN
01
—
7713361
AETNA
IN
01
—
98519
HEALTH PARTNERS
IN
Enumeration date
12/12/2006
Last updated
08/26/2008
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