Organization
KADLEC
Active
Other names
Active Care Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN KADLEC D.C. (OWNER/PRESIDENT)
(605) 426-6063
Entity
Organization
Contact information
Practice address
615 TH HWY 12, IPSWICH, SD 57451-0314
(605) 426-6063
(605) 426-6304
Mailing address
PO BOX 314, IPSWICH, SD 57451-0314
(605) 426-6063
(605) 426-6304
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1124
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D01372
RAILROAD MEDICARE
SD
Enumeration date
01/07/2008
Last updated
02/10/2012
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