Provider Demographics
NPI:1417933318
Name:CYR, KENNETH H (DC)
Entity type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:H
Last Name:CYR
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 1:1256 SE BISHOP BLVD
Mailing Address - Street 2:
Mailing Address - City:PULLMAN
Mailing Address - State:WA
Mailing Address - Zip Code:99163-5414
Mailing Address - Country:US
Mailing Address - Phone:509-332-1550
Mailing Address - Fax:509-334-6768
Practice Address - Street 1:1256 SE BISHOP BLVD
Practice Address - Street 2:
Practice Address - City:PULLMAN
Practice Address - State:WA
Practice Address - Zip Code:99163-5414
Practice Address - Country:US
Practice Address - Phone:509-332-1550
Practice Address - Fax:509-334-6768
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-22
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA2098111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor