Kedr LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3547-012 Issued in WI

Legal business name

KEDR LLC

Practice address

4080 N Brookfield Rd Ste a
Brookfield, WI 53045-7445

Phone

(262) 781-0084

Fax

(262) 781-0090

NPI assigned

Mar 5, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kinga E Ebner, D.C.

Title

President

Phone

(262) 781-0084

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Chiropractic Care Center-Brookfield Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659400653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 N BROOKFIELD RD STE A",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530457445",
            "telephone_number": "262-781-0084",
            "fax_number": "262-781-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 N BROOKFIELD RD STE A",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530457445",
            "telephone_number": "262-781-0084",
            "fax_number": "262-781-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEDR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EBNER",
        "authorized_official_first_name": "KINGA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-781-0084",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3547-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38937200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic Care Center-Brookfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Kasper
• Charles Alan Kass, DDS
• Hannah Joy Elise Kastens
• Stefanie Lyn Kasun-Lamb, R.D.
• Harpreet Kaur
• John Charles Keene, DDS
• Whitney Kees, OTR
• Ryan J Kehoe, M.D.
• David Keller, COTA
• Scott W. Kelley, MD

• Chiropractor in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.