Individual
DR. KENNETH S HEINEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1539 33RD PLACE, SUITE B, SHEBOYGAN, WI 53081-1826
(920) 451-9960
(920) 451-9965
Mailing address
1539 33RD PLACE, SUITE B, SHEBOYGAN, WI 53081-1826
(920) 451-9960
(920) 451-9965
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3643-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38927500
—
WI
Enumeration date
01/31/2007
Last updated
12/18/2013
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