Kyle Bruketa, D.C.

NPI #1205293446 in Peoria, Illinois

Provider Information

NPI Number: 1205293446
Entity Type: Individual
Name: Kyle Bruketa, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Jan 19, 2016
Last Updated: Jan 19, 2016

Practice Location

Address: 7310 N VILLA LAKE DR
City: Peoria
State: Illinois
ZIP Code: 61614-8267
Phone: (309) 691-9767

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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