KENN E IVERSON DC P C NPI 1265629240

NPI Information

NPI: 1265629240
Provider Name: KENN E IVERSON DC P C
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address: 312 2ND AVE SW STE 101
JAMESTOWN, ND
ZIP 58401
Phone: (701) 252-2424

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NPI Details

KENN E IVERSON DC P C is a chiropractor in Jamestown, ND. The provider is 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. KENN E IVERSON DC P C NPI is 1265629240. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

312 2ND AVE SW STE 101
JAMESTOWN, ND
ZIP 58401-177
Phone: (701) 252-2424
Fax: (701) 252-3205

The provider's authorized official is Tammy Zuck .
The authorized official title is Office Manager and has the following contact phone number (701) 252-2424.

The enumeration date for this NPI number is 10/3/2007 and was last updated on 2/9/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		733	NORTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	13530	MEDICAID	NORTH DAKOTA
2	6577-001	OTHER	NORTH DAKOTA	BLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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