Organization
RIVER VALLEY CHIROPRACTIC PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENT MATTHEW MISKIMEN DC (OWNER PRESIDENT)
(319) 261-1999
Entity
Organization
Contact information
Practice address
1435 31ST ST NE, STE 3, CEDAR RAPIDS, IA 52402
(319) 261-1999
(319) 261-0608
Mailing address
1435 31ST ST NE, STE 3, CEDAR RAPIDS, IA 52402
(319) 261-1999
(319) 261-0608
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06553
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0276477
—
IA
01
—
241747
MIDLANDS CHOICE
IA
01
—
31512
WELLMARK BCBS OF IOWA
IA
Enumeration date
04/04/2006
Last updated
11/02/2011
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