Individual
TATE HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
10234 W 13TH ST N, WICHITA, KS 67212-4377
(316) 729-4500
Mailing address
10234 W 13TH ST N, WICHITA, KS 67212-4377
(316) 729-4500
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-05251
KS
Other
Enumeration date
02/23/2009
Last updated
03/14/2011
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