Organization
CANTON CHIROPRACTIC PROF. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRK B HENDERSON DC (OWNER)
(605) 214-5804
Entity
Organization
Contact information
Practice address
113 S BROADWAY ST, CANTON, SD 57013-2224
(605) 214-5804
Mailing address
113 S BROADWAY ST, CANTON, SD 57013-2224
(605) 214-5804
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7605300
—
SD
Enumeration date
12/10/2018
Last updated
12/11/2018
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