Individual
KIP ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
206 S 1ST ST, INDIANOLA, IA 50125-2503
(515) 612-2919
Mailing address
PO BOX 113, INDIANOLA, IA 50125-0113
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06593
IA
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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