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Individual

DR. PAUL W ERIKSEN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
631 TANNER RD, HODGENVILLE, KY 42748-9642
(270) 358-7070
(270) 358-4617
Mailing address
631 TANNER RD, HODGENVILLE, KY 42748-9642
(270) 358-7070
(270) 358-4617

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4336
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
85000875
KY
Enumeration date
06/02/2005
Last updated
07/08/2007
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