Organization
KEDR LLC
Active
Other names
Chiropractic Care Center-Brookfield
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KINGA E EBNER D.C. (PRESIDENT)
(262) 781-0084
Entity
Organization
Contact information
Practice address
4080 N BROOKFIELD RD STE A, BROOKFIELD, WI 53045-7445
(262) 781-0084
(262) 781-0090
Mailing address
4080 N BROOKFIELD RD STE A, BROOKFIELD, WI 53045-7445
(262) 781-0084
(262) 781-0090
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3547-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38937200
—
WI
Enumeration date
03/05/2007
Last updated
08/22/2020
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