Provider Demographics
NPI:1598918732
Name:BAHR, KIMBERLY ANN (DC)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:ANN
Last Name:BAHR
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 1:4004 LOFTY PINES RD
Mailing Address - Street 2:
Mailing Address - City:PIEDMONT
Mailing Address - State:SD
Mailing Address - Zip Code:57769-7288
Mailing Address - Country:US
Mailing Address - Phone:605-431-5866
Mailing Address - Fax:
Practice Address - Street 1:2720 W MAIN ST STE 3B
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57702-8111
Practice Address - Country:US
Practice Address - Phone:605-399-2273
Practice Address - Fax:605-791-5052
Is Sole Proprietor?:No
Enumeration Date:2008-10-31
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1131111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor