Provider Demographics
NPI:1962474783
Name:KEUNE, ARDEN BURDETTE (DC)
Entity Type:Individual
Prefix:DR
First Name:ARDEN
Middle Name:BURDETTE
Last Name:KEUNE
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:PO BOX 151
Mailing Address - Street 2:
Mailing Address - City:SIOUX RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:50585-0151
Mailing Address - Country:US
Mailing Address - Phone:712-283-2112
Mailing Address - Fax:712-283-2112
Practice Address - Street 1:320 US HIGHWAY 71
Practice Address - Street 2:
Practice Address - City:SIOUX RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:50585-2061
Practice Address - Country:US
Practice Address - Phone:712-283-2112
Practice Address - Fax:712-283-2112
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-06
Last Update Date:2014-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA05464111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA03655OtherWELLMARK BC/BS
IA39102OtherSIOUX VALLEY HEALTH
IA0291146Medicaid
IA22579OtherMIDLANDS CHOICE
IA39102OtherSIOUX VALLEY HEALTH