Provider Demographics
NPI:1487766739
Name:KIGER, BRENDEN THOMAS (DC)
Entity type:Individual
Prefix:DR
First Name:BRENDEN
Middle Name:THOMAS
Last Name:KIGER
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:W6177 NEUBERT RD
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54913-7988
Mailing Address - Country:US
Mailing Address - Phone:920-757-1600
Mailing Address - Fax:920-757-1717
Practice Address - Street 1:W6177 NEUBERT RD
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54913-7988
Practice Address - Country:US
Practice Address - Phone:920-757-1600
Practice Address - Fax:920-757-1717
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4112-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI38959700Medicaid
WIV04219Medicare UPIN
WI38959700Medicaid