| NPI | 1023090156 |
|---|---|
| Professional Name | KENNETH L MAHNKE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NR0200X Chiropractor, Radiology (Licence: NE 616) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NE 616) |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2009-03-11 |