Organization
KIEKHOEFER CHIROPRACTIC LLC
Active
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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