Dr. Gary Allen Kiekhoefer
Chiropractic Sports Physician
8619 W Point Douglas Rd S Suite 110
Cottage Grove
, Minnesota 55016-4162
Dr. Gary Allen Kiekhoefer
Chiropractic Sports Physician
8619 W Point Douglas Rd S Suite 110
Cottage Grove
, Minnesota 55016-4162
(651) 458-0094
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Gary Allen Kiekhoefer
- 8619 W Point Douglas Rd S Suite 110
- Cottage Grove, MN
- Zip : 55016-4162
- Phone : (651) 458-0094
Second Address
- Dr. Gary Allen Kiekhoefer
- 8619 W Point Douglas Rd S Suite 110
- Cottage Grove, MN
- Zip : 55016-4162
- Phone : (651) 458-0094
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | 2666 | MN |
National Provider Identifier
| NPI | 1083767719 |
|---|---|
| Provider Name | Dr. Gary Allen Kiekhoefer |
| First Address | Cottage Grove, MN 55016-4162 |
| Second Address | Cottage Grove, MN 55016-4162 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/01/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.