National Provider Identifier

Kenneth John Erickson, PHD., D.C., B.S, DAC

Kenneth John Erickson, PHD., D.C., B.S, DAC is listed in the NPPES registry with a primary specialty of Neurology Chiropractor in Jamestown, NY and a listed phone number of (716) 665-6226.

NPI 1043375603Jamestown, NYNeurology Chiropractor

Profile Overview

NPI
1043375603
Provider Type
Individual
Primary Specialty
Neurology Chiropractor
Enumeration Date
December 26, 2006
Last Updated
March 02, 2015

Practice Location

  • 428 Fairmount Ave. W.E.
  • Jamestown, NY 14701

Phone: (716) 665-6226

Specialties

  • Neurology Chiropractor (111NN0400X)
Full Record
NPI
1043375603
Entity Type
Individual
Last Name
Erickson
First Name
Kenneth
Middle Name
John
Name Prefix
Dr.
Credential
PHD., D.C., B.S, DAC
Mailing Street Address
428 Fairmount Ave. W.E.
Mailing City
Jamestown
Mailing State
NY
Mailing ZIP Code
14701
Mailing Country
US
Mailing Phone
(716) 665-6226
Mailing Fax
(716) 665-3159
Practice Street Address
428 Fairmount Ave. W.E.
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701
Practice Country
US
Practice Phone
(716) 665-6226
Practice Fax
(716) 665-3159
Enumeration Date
December 26, 2006
Last Updated
March 02, 2015
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Neurology Chiropractor (111NN0400X)