Individual
KYLE M HAMS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
110 EAST MAIN ST, HINCKLEY, MN 55037-0543
(320) 384-6790
(320) 384-6836
Mailing address
PO BOX 543, HINCKLEY, MN 55037-0543
(320) 384-6790
(320) 384-6836
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2321
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59666MO
BLUE CROSS BLUE SHIELD
MN
Enumeration date
11/07/2005
Last updated
07/08/2007
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