Individual
DR. KENNETH G ERICKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1605 S PARK DR, BROKEN BOW, OK 74728
(580) 584-3385
(580) 584-5454
Mailing address
26743 US HIGHWAY 380 E, STE 100, AUBREY, TX 76227-8308
(972) 347-3400
(972) 347-6402
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
11181
TX
111N00000X
Chiropractor
Primary
4300
OK
Other
Enumeration date
05/11/2009
Last updated
11/07/2018
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