Individual
DARON KENNETH DEJONG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
721 8TH STREET SE, ORANGE CITY, IA 51041-7451
(712) 737-6824
(712) 737-6426
Mailing address
721 8TH STREET SE, ORANGE CITY, IA 51041-7451
(712) 737-6824
(712) 737-6426
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06472
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0273649
—
IA
01
—
238993
MIDLANDS CHOICE
IA
01
—
31144
WELLMARK BCBS IA
IA
Enumeration date
03/24/2006
Last updated
07/08/2007
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