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Individual

RODNEY PAUL POE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
320 W CENTRAL AVE, SUITE D, ANDOVER, KS 67002-9616
(316) 733-5454
(316) 733-5404
Mailing address
PO BOX 593, ANDOVER, KS 67002-0593
(316) 733-5454
(316) 733-5404

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
01-03532
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
062437
BC/BS
KS
01
3013
PHS
KS
Enumeration date
09/13/2007
Last updated
10/05/2007
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