Organization
MCCONKEY CHIROPRACTIC CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY KURTISS MCCONKEY D.C. (CHIROPRACTOR)
(320) 286-2500
Entity
Organization
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
732728500
—
MN
Enumeration date
03/02/2009
Last updated
01/14/2013
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