Provider Demographics
NPI:1447281688
Name:ZUERCHER, KENNETH W II (DOCTOR OF CHIROPRACT)
Entity type:Individual
Prefix:MR
First Name:KENNETH
Middle Name:W
Last Name:ZUERCHER
Suffix:II
Gender:M
Credentials:DOCTOR OF CHIROPRACT
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 196
Mailing Address - Street 2:
Mailing Address - City:SPEARFISH
Mailing Address - State:SD
Mailing Address - Zip Code:57783
Mailing Address - Country:US
Mailing Address - Phone:605-642-4228
Mailing Address - Fax:605-642-4228
Practice Address - Street 1:110 EAST GRANT STREET
Practice Address - Street 2:
Practice Address - City:SPEARFISH
Practice Address - State:SD
Practice Address - Zip Code:57783
Practice Address - Country:US
Practice Address - Phone:605-642-4228
Practice Address - Fax:605-642-4228
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD511111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SDS83999Medicare PIN
T66493Medicare UPIN