Provider Demographics
NPI:1376680587
Name:ECKARD, KURT D (DC)
Entity Type:Individual
Prefix:DR
First Name:KURT
Middle Name:D
Last Name:ECKARD
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 1:1004 21ST STREET
Mailing Address - Street 2:PO BOX 469
Mailing Address - City:MILFORD
Mailing Address - State:IA
Mailing Address - Zip Code:51351-0469
Mailing Address - Country:US
Mailing Address - Phone:712-338-2850
Mailing Address - Fax:712-338-2309
Practice Address - Street 1:1004 21ST STREET
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:IA
Practice Address - Zip Code:51351-0469
Practice Address - Country:US
Practice Address - Phone:712-338-2850
Practice Address - Fax:712-338-2309
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA05660111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor