Provider Demographics
NPI:1720219918
Name:KUEHL CHIROPRACTIC, P.A.
Entity Type:Organization
Organization Name:KUEHL CHIROPRACTIC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC/ PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:KUEHL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:1507-215-0814
Mailing Address - Street 1:208 MCPHAIL DR
Mailing Address - Street 2:
Mailing Address - City:REDWOOD FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56283-1845
Mailing Address - Country:US
Mailing Address - Phone:507-215-0814
Mailing Address - Fax:
Practice Address - Street 1:510 7TH ST SE
Practice Address - Street 2:UNIT #4
Practice Address - City:PIPESTONE
Practice Address - State:MN
Practice Address - Zip Code:56164-2092
Practice Address - Country:US
Practice Address - Phone:507-215-0814
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-05
Last Update Date:2009-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5083111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty