Provider Demographics
NPI:1578838868
Name:KOERNER CHIROPRACTIC PA
Entity type:Organization
Organization Name:KOERNER CHIROPRACTIC PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:KOERNER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:785-628-2105
Mailing Address - Street 1:105 W 9TH ST
Mailing Address - Street 2:
Mailing Address - City:ELLIS
Mailing Address - State:KS
Mailing Address - Zip Code:67637-2206
Mailing Address - Country:US
Mailing Address - Phone:785-726-3452
Mailing Address - Fax:785-726-4007
Practice Address - Street 1:105 W 9TH ST
Practice Address - Street 2:
Practice Address - City:ELLIS
Practice Address - State:KS
Practice Address - Zip Code:67637-2206
Practice Address - Country:US
Practice Address - Phone:785-726-3452
Practice Address - Fax:785-726-4007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-20
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty