Organization
LYLE R. TIMMONS D.C. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYLE R TIMMONS D.O. (PRESIDENT)
(785) 726-3452
Entity
Organization
Contact information
Practice address
1005 WASHINGTON ST, ELLIS, KS 67637-1614
(785) 726-3452
(785) 726-4007
Mailing address
PO BOX 19, ELLIS, KS 67637-0019
(785) 726-3452
(785) 726-4007
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
01-03223
KS
Other
Enumeration date
12/09/2011
Last updated
12/09/2011
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