Organization
POKORNY CHIROPRACTIC CLINICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANTEL POKORNY DC (OWNER)
(760) 861-0130
Entity
Organization
Contact information
Practice address
623 QUINCY ST STE 101, RAPID CITY, SD 57701
(605) 791-0868
Mailing address
623 QUINCY ST STE 101, RAPID CITY, SD 57701-8230
(605) 791-0868
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447776380
—
SD
Enumeration date
04/26/2019
Last updated
09/05/2019
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