Organization
KRIESER FAMILY CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH J KRIESER DC (OWNER)
(262) 563-1000
Entity
Organization
Contact information
Practice address
W330N4339 LAKELAND DR, NASHOTAH, WI 53058-9798
(262) 563-1000
(262) 563-1200
Mailing address
W330N4339 LAKELAND DR, NASHOTAH, WI 53058-9798
(262) 563-1000
(262) 563-1200
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4167-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38967400
—
WI
Enumeration date
02/21/2007
Last updated
09/19/2013
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