person
Dr. Kenneth Steven Hideman, DC
Chiropractor in Goshen, Indiana
NPI 1295749315

Kenneth Steven Hideman is a Chiropractor based in Goshen, IN. Kenneth Steven Hideman practices in Goshen, IN and has the professional credentials of DC. The NPI Number for Kenneth Steven Hideman is 1295749315 and holds a License No. 08001551 (Indiana).

The current practice location address for Kenneth Steven Hideman is 1131 S Indiana Ave, Goshen, IN and can be reached out via phone at 574-533-0770 and via fax at 574-534-0770.

Location: 1131 S Indiana Ave, Goshen, IN, 46526-6207
person
Provider Profile Details
NPI Number
1295749315
Provider Name
Kenneth Steven Hideman
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1131 S Indiana Ave, Goshen, IN, 46526-6207
Phone Number
574-533-0770
Fax Number
574-534-0770
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000387548 01 IN ANTHEM
institution
Provider Business Practice Location Address Details
Address
1131 S Indiana Ave
City
State
Zip
46526-6207
Phone Number
574-533-0770
Fax Number
574-534-0770
person
Provider Business Mailing Address Details
Address
1131 S Indiana Ave
City
State
Zip
46526-6207
Phone Number
574-533-0770
Fax Number
574-534-0770
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
08001551 (Indiana)
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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