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Dr. Kenneth Robert Tiller, DC
Chiropractor in Birch Run, Michigan
NPI 1093801201

Kenneth Robert Tiller is a Chiropractor based in Birch Run, MI. Kenneth Robert Tiller practices in Birch Run, MI and has the professional credentials of DC. The NPI Number for Kenneth Robert Tiller is 1093801201 and holds a License No. 2301005216 (Michigan).

The current practice location address for Kenneth Robert Tiller is 7890 Main, Birch Run, MI and can be reached out via phone at 989-624-6266 and via fax at 989-624-4407.

Location: 7890 Main, Birch Run, MI, 48415
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093801201
Provider Name
Kenneth Robert Tiller
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
7890 Main, Birch Run, MI, 48415
Phone Number
989-624-6266
Fax Number
989-624-4407
Provider Enumeration Date
10/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2928135 05 MI
391945651 01 MI AETNA
950G35246 01 MI BCBS
institution
Provider Business Practice Location Address Details
Address
7890 Main
City
Birch Run
State
Michigan
Zip
48415
Phone Number
989-624-6266
Fax Number
989-624-4407
person
Provider Business Mailing Address Details
Address
7890 Main
City
Birch Run
State
Michigan
Zip
48415
Phone Number
989-624-6266
Fax Number
989-624-4407
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
2301005216 (Michigan)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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