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DR. KENNETH G ERICKSEN D.C.
NPI 1578797221
Chiropractor in Broken Bow, OK

Active since May 11, 2009
1605 S PARK DR, BROKEN BOW, OK 74728(580) 584-3385(580) 584-5454 Get Directions Write a Review

NPPES record last updated: November 7, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kenneth G Ericksen D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH G ERICKSEN D.C. (NPI 1578797221) is an individual chiropractor in Broken Bow, Oklahoma, licensed in Oklahoma (4300) and active in the NPI registry since May 2009. He maintains a secondary practice location in Aubrey.

NPPES Registry Identity

NPI1578797221
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. KENNETH G ERICKSENCredential: D.C.
Location Address1605 S PARK DRBroken Bow, OK 74728
Mailing Address26743 Us Highway 380 E, Ste 100Aubrey, TX 76227-8308 · (972) 347-3400 · Fax (972) 347-6402
Phone(580) 584-3385
Fax(580) 584-5454
Sole ProprietorNo
Enumeration DateMay 11, 2009
Last NPPES UpdateNovember 7, 2018
✔ NPI 1578797221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in OK · 4300✔ Licensed in TX · 11181
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.
1605 S PARK DR, Broken Bow, OK 74728
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Secondary Practice Location 1

Location 126743 US Highway 380 E, Ste 100Aubrey, TX 76227-8308 · Phone (972) 347-3400 · Fax (972) 347-6402

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HAYES CHIROPRACTIC HEALTH CLINIC, P.C.
Chiropractor
1605 S PARK DR
BROKEN BOW, OK 74728
McCurtain County (580) 584-3385
TOBE THACKER D.C.
Chiropractor
1605 S PARK DR
BROKEN BOW, OK 74728
McCurtain County (580) 584-3385
A BETTER YOU HEALTHCARE CLINIC PLLC
Nurse Practitioner
1605 S PARK DR
BROKEN BOW, OK 74728
McCurtain County (580) 316-3387
DR. DOUGLAS R HAYES DC
Chiropractor
1605 S PARK DR
BROKEN BOW, OK 74728
McCurtain County (580) 584-3385
TOBE THACKER
Chiropractor
1605 S PARK DR
BROKEN BOW, OK 74728
McCurtain County (580) 584-3385

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Ericksen's NPI number?

The NPI number for Kenneth Ericksen is 1578797221. It was assigned to this individual provider in the NPPES registry on May 11, 2009.

Where is Kenneth Ericksen located?

Kenneth Ericksen practices at 1605 S Park Dr, Broken Bow, OK 74728. The listed phone number is (580) 584-3385.

What is Kenneth Ericksen's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Ericksen was last updated on November 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.