Individual
DR. JAY C MINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
11940 W CENTRAL AVE, SUITE 102, WICHITA, KS 67212-5180
(316) 729-4447
(316) 448-0412
Mailing address
11940 W CENTRAL AVE, SUITE 102, WICHITA, KS 67212-5180
(316) 729-4447
(316) 448-0412
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104701
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060821
BLUE CROSS BLUE SHIELD
KS
Enumeration date
04/10/2007
Last updated
10/05/2012
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