| NPI | 1639359383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH ROBERT KRAYENHAGEN President 563-508-1599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA A06185) |
| Enumeration Date | 2007-11-10 |
| Last Update Date | 2014-05-13 |