Individual
RANDALL R HAFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
720 6TH ST, CLAY CENTER, KS 67432-2915
(785) 632-5983
(785) 632-5983
Mailing address
720 6TH ST, CLAY CENTER, KS 67432-2915
(785) 632-5983
(785) 632-5983
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
C3369
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007100
BLUE CROSS BLUE SHIELD
KS
Enumeration date
09/21/2006
Last updated
10/15/2007
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