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Individual

DR. TRACY KURTISS MCCONKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
15703 US HIGHWAY 12 SW, COKATO, MN 55321-4624
(320) 286-2500
(320) 286-2501
Mailing address
PO BOX 206, COKATO, MN 55321-0206
(320) 286-2500
(320) 286-2501

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2617
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
732728500
MN
Enumeration date
11/30/2006
Last updated
01/14/2013
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