Russell  R  Kershen    DC
Contract Details
Kershen Chiropractic, PA
Facility name
Provider ID
P000006591
Tax ID
752664134
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
421 Main St
Panhandle, TX 79068
United States
County
Carson
Phone
8066558777 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address