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Dr. Cody Lee Kruckenberg, DC
Chiropractor in Brandon, South Dakota
NPI 1790175388

Cody Lee Kruckenberg is a Chiropractor based in Brandon, SD. Cody Lee Kruckenberg practices in Brandon, SD and has the professional credentials of DC. The NPI Number for Cody Lee Kruckenberg is 1790175388 and holds a License No. 600 (South Dakota).

The current practice location address for Cody Lee Kruckenberg is 312 E Holly Blvd, Brandon, SD and can be reached out via phone at 605-254-7735. You can also correspond with Cody Lee Kruckenberg through the mailing address at 312 E HOLLY BLVD, BRANDON, SD - 57005-1240 (mailing address contact number: 605-254-7735).

Location: 312 E Holly Blvd, Brandon, SD, 57005-1240
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790175388
Provider Name
Cody Lee Kruckenberg
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
312 E Holly Blvd, Brandon, SD, 57005-1240
Phone Number
605-254-7735
Fax Number
Provider Enumeration Date
02/03/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
312 E Holly Blvd
City
Brandon
State
South Dakota
Zip
57005
Phone Number
605-254-7735
Fax Number
person
Provider Business Mailing Address Details
Address
312 E Holly Blvd
City
Brandon
State
South Dakota
Zip
57005-1240
Phone Number
605-254-7735
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
600 (Alaska)
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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