Kenneth G. Ericksen, D.C.

Chiropractor · Broken Bow, OK

Individual Active NPI

NPI number 1578797221

Practice location

1605 S Park Dr
Broken Bow, OK 74728
Phone
(580) 584-3385
Fax
(580) 584-5454

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NPI record

NPI
1578797221
Entity type
Individual (Type 1)
Enumeration date
May 11, 2009
Last updated
November 7, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 4300 OK
Chiropractor 111N00000X 11181 TX

Mailing address

26743 Us Highway 380 E
Ste 100
Aubrey, TX 76227-8308
Phone
(972) 347-3400
Fax
(972) 347-6402

Other practice locations (1)

  • 26743 US Highway 380 E, Ste 100, Aubrey, TX 76227-8308 · (972) 347-3400

About Dr. Ericksen

Kenneth G. Ericksen, D.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 1605 S Park Dr, Broken Bow, OK 74728. The NPI number 1578797221 was assigned on May 11, 2009 and the record was last updated on November 7, 2018.

Dr. Ericksen lists 2 licenses in the registry: #4300 (OK) for Chiropractor; #11181 (TX) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kenneth G. Ericksen, D.C.?

The NPI number is 1578797221.

What is the phone number of Dr. Ericksen?

The phone number listed for the practice location is (580) 584-3385.

Where is Dr. Ericksen located?

1605 S Park Dr, Broken Bow, OK 74728.

What is the taxonomy code for Dr. Ericksen?

The primary taxonomy code is 111N00000X – Chiropractor; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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