KERSHEN CHIROPRACTIC PA
Chiropractic at 4 Ave, Canyon, TX

License number
Texas 6700
Category
Chiropractic
Type
Chiropractor
Owner
Name: DR. RUSSELL RONALD KERSHEN DC
Title: PRESIDENT
Phone: (806) 655-8777
Address
Address
1613 4Th Ave, Canyon, TX 79015
National Provider ID: 1639281496
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KERSHEN CHIROPRACTIC, PA

1613 4 Ave, Canyon, TX 79015

Registration:
Jan 2, 2002
State ID:
0800034947
Business type:
Professional Association
Executive Committees:
Russell R. Kershen (President, Treasurer, Secretary, Director, Member, Vice-President),Lori Kershen (Executive Committee)
Agent:
Russell Kershen,1613 4 Ave, Canyon, TX 79015 (Physical)
TIN:
30118892774

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