Individual
DR. CODY LEE KRUCKENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
312 E HOLLY BLVD, BRANDON, SD 57005
(605) 254-7735
Mailing address
312 E HOLLY BLVD, BRANDON, SD 57005-1240
(605) 254-7735
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1333
SD
111N00000X
Chiropractor
600
AK
Other
Enumeration date
02/03/2015
Last updated
05/16/2018
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