Individual
MR. JORDAN KYLE HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
211 SE 1ST ST, LOOGOOTEE, IN 47553-1608
(812) 295-3346
(812) 295-4259
Mailing address
211 SE 1ST ST, LOOGOOTEE, IN 47553-1608
(812) 295-3346
(812) 295-4259
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002598A
IN
Other
Enumeration date
08/30/2011
Last updated
08/30/2011
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