Individual
DR. ASHLEY THOMAS KIDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
106 W 8TH ST STE A, HORTON, KS 66439-1666
(913) 575-0763
(785) 264-4702
Mailing address
PO BOX 106, HORTON, KS 66439-0106
(913) 575-0763
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-04904
KS
111N00000X
Chiropractor
2006012878
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
062327
MEDICARE INDIVIDUAL #
KS
01
—
660153
MEDICARE GROUP PROVIDER #
KS
Enumeration date
05/17/2006
Last updated
02/23/2022
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