Provider Demographics
NPI:1639988868
Name:KUESTER, KAMERYN EILEEN (DC)
Entity type:Individual
Prefix:
First Name:KAMERYN
Middle Name:EILEEN
Last Name:KUESTER
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 1:8622 142ND ST
Mailing Address - Street 2:
Mailing Address - City:CHIPPEWA FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:54729-5275
Mailing Address - Country:US
Mailing Address - Phone:715-494-9096
Mailing Address - Fax:
Practice Address - Street 1:2029 COUNTY HIGHWAY I STE 3
Practice Address - Street 2:
Practice Address - City:CHIPPEWA FALLS
Practice Address - State:WI
Practice Address - Zip Code:54729-4420
Practice Address - Country:US
Practice Address - Phone:715-720-8500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI625412111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor