Individual
DR. JENNIFER PETERSON FETHERSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1844 N GARLAND ST, WICHITA, KS 67203-2843
(316) 619-5345
Mailing address
1844 N GARLAND ST, WICHITA, KS 67203-2843
(316) 619-5345
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4851
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
062093
BLUE CROSS AND BLUE SHIEL
KS
01
—
510496114
UNITED HEALTHCARE
KS
Enumeration date
03/18/2006
Last updated
08/28/2012
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