Provider Demographics
NPI:1316060460
Name:HEDIGER, KURT WAYNE (DC)
Entity type:Individual
Prefix:DR
First Name:KURT
Middle Name:WAYNE
Last Name:HEDIGER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 872091
Mailing Address - Street 2:
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99687-2091
Mailing Address - Country:US
Mailing Address - Phone:907-841-5944
Mailing Address - Fax:
Practice Address - Street 1:2361 W MELANIE AVE
Practice Address - Street 2:
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654-6137
Practice Address - Country:US
Practice Address - Phone:907-841-5944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK243111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor