Provider Demographics
NPI:1366702854
Name:STOHR, KENNETH RAY JR (DC)
Entity type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:RAY
Last Name:STOHR
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:129 INDIAN LAKE RD
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-3820
Mailing Address - Country:US
Mailing Address - Phone:615-822-7421
Mailing Address - Fax:615-822-7475
Practice Address - Street 1:129 INDIAN LAKE ROAD
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075
Practice Address - Country:US
Practice Address - Phone:615-822-7421
Practice Address - Fax:615-822-7475
Is Sole Proprietor?:No
Enumeration Date:2012-05-18
Last Update Date:2012-05-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN2603111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor