Individual
DR. JUSTIN WADE MCKILLIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
116 22ND AVE S, BROOKINGS, SD 57006-2600
(605) 692-2251
(605) 692-2255
Mailing address
116 22ND AVE S, BROOKINGS, SD 57006-2600
(605) 692-2251
(605) 692-2255
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1133
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7605010
—
SD
Enumeration date
05/19/2008
Last updated
06/16/2021
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