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Dr. Susan Kinkade Antley, DC
Chiropractor in Lakeside, Montana
NPI 1457401895

Susan Kinkade Antley is a Chiropractor based in Lakeside, MT. Susan Kinkade Antley practices in Lakeside, MT and has the professional credentials of DC. The NPI Number for Susan Kinkade Antley is 1457401895 and holds a License No. CHI 954 (Montana).

The current practice location address for Susan Kinkade Antley is 7176 Highway 93 South, Lakeside, MT and can be reached out via phone at 406-844-2151.

Location: 7176 Highway 93 South, Lakeside, MT, 59922-0648
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457401895
Provider Name
Susan Kinkade Antley
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
7176 Highway 93 South, Lakeside, MT, 59922-0648
Phone Number
406-844-2151
Fax Number
Provider Enumeration Date
01/10/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0000040033 01 MT BLUE CROSS BLUE SHIELD
0000163999 05 MT
institution
Provider Business Practice Location Address Details
Address
7176 Highway 93 South
City
Lakeside
State
Montana
Zip
59922
Phone Number
406-844-2151
Fax Number
person
Provider Business Mailing Address Details
Address
7176 Highway 93 South
City
Lakeside
State
Montana
Zip
59922
Phone Number
406-844-2151
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CHI 954 (Montana)
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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