Provider Demographics
NPI:1285896456
Name:SHUNKWILER, KYLE DEAN (DC, MS)
Entity type:Individual
Prefix:DR
First Name:KYLE
Middle Name:DEAN
Last Name:SHUNKWILER
Suffix:
Gender:M
Credentials:DC, MS
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Mailing Address - Street 1:4130 PIONEER WOODS DRIVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-7552
Mailing Address - Country:US
Mailing Address - Phone:402-261-6841
Mailing Address - Fax:
Practice Address - Street 1:4130 PIONEER WOODS DRIVE
Practice Address - Street 2:SUITE 3
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-7552
Practice Address - Country:US
Practice Address - Phone:402-261-6841
Practice Address - Fax:402-261-6843
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-30
Last Update Date:2024-07-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE1516111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor