Individual
DR. RYAN M ROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1402 CHURCH ST, STE E, EUDORA, KS 66025-9489
(785) 542-2118
(785) 542-1164
Mailing address
PO BOX 706, EUDORA, KS 66025-0706
(785) 542-2118
(785) 542-1164
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-04835
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11319888
CAQH PROVIDER #
KS
01
—
2195757
FIRST HEALTH PROVIDER #
KS
01
—
282759
COVENTRY PROVIDER #
KS
01
—
35886021
BCBSKC
KS
01
—
665384
UNITED PROVIDER NUMBER
KS
01
—
P00290537
RRMC PROVIDER NUMBER
KS
Enumeration date
08/30/2006
Last updated
11/06/2012
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