Provider Demographics
NPI:1346603586
Name:BURKENBINE, NIKKI (DC)
Entity Type:Individual
Prefix:DR
First Name:NIKKI
Middle Name:
Last Name:BURKENBINE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11115 PLUM DR
Mailing Address - Street 2:
Mailing Address - City:URBANDALE
Mailing Address - State:IA
Mailing Address - Zip Code:50322-6333
Mailing Address - Country:US
Mailing Address - Phone:515-251-3240
Mailing Address - Fax:515-251-3241
Practice Address - Street 1:11115 PLUM DR
Practice Address - Street 2:
Practice Address - City:URBANDALE
Practice Address - State:IA
Practice Address - Zip Code:50322-6333
Practice Address - Country:US
Practice Address - Phone:515-251-3240
Practice Address - Fax:515-251-3241
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-04
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA081221111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor