Provider Demographics
NPI:1821551433
Name:KERSHEN, HUNTER MORGAN (DC)
Entity Type:Individual
Prefix:DR
First Name:HUNTER
Middle Name:MORGAN
Last Name:KERSHEN
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 1:12419 FM 346 W
Mailing Address - Street 2:
Mailing Address - City:BULLARD
Mailing Address - State:TX
Mailing Address - Zip Code:75757-9019
Mailing Address - Country:US
Mailing Address - Phone:469-404-7025
Mailing Address - Fax:
Practice Address - Street 1:410 E COMMERCE ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:TX
Practice Address - Zip Code:75766-4908
Practice Address - Country:US
Practice Address - Phone:903-586-3667
Practice Address - Fax:903-586-6404
Is Sole Proprietor?:No
Enumeration Date:2019-04-10
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14042111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor