Provider Demographics
NPI:1124364914
Name:WINKLER, KYLE KRAIG (DC)
Entity Type:Individual
Prefix:DR
First Name:KYLE
Middle Name:KRAIG
Last Name:WINKLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1207
Mailing Address - Street 2:
Mailing Address - City:BEULAH
Mailing Address - State:ND
Mailing Address - Zip Code:58523-1207
Mailing Address - Country:US
Mailing Address - Phone:701-873-9955
Mailing Address - Fax:701-873-9956
Practice Address - Street 1:119 E MAIN ST
Practice Address - Street 2:
Practice Address - City:BEULAH
Practice Address - State:ND
Practice Address - Zip Code:58523-6637
Practice Address - Country:US
Practice Address - Phone:701-873-9955
Practice Address - Fax:701-873-9956
Is Sole Proprietor?:No
Enumeration Date:2012-12-24
Last Update Date:2021-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND932111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor