Organization
KIEKHOEFER CHIROPRACTIC LLC
Active
Other names
Kiekhoefer Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY ALLEN KIEKHOEFER D.C. (OWNER)
(651) 458-0094
Entity
Organization
Contact information
Practice address
8619 W POINT DOUGLAS RD S, SUITE 110, COTTAGE GROVE, MN 55016-4162
(651) 458-0094
Mailing address
4781 STIMSON TRL, WOODBURY, MN 55129-8411
(651) 458-0094
(651) 251-2273
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
2666
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
673228300
—
MN
Enumeration date
01/03/2008
Last updated
04/02/2015
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