Organization
LIBERAL FAMILY CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIO JIMENEZ D.C. (OWNER/PRESIDENT)
(620) 624-7773
Entity
Organization
Contact information
Practice address
2330 N KANSAS AVE, SUITE 5, LIBERAL, KS 67901-2372
(620) 624-7773
(620) 626-7396
Mailing address
2330 N. KANSAS AVE, SUITE 5, LIBERAL, KS 67901
(620) 624-7773
(620) 626-7396
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-04874
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
062047
MEDICARE ID
—
01
—
660035
BCBS
—
Enumeration date
11/24/2008
Last updated
11/24/2008
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