Organization
DEGRAFFENREID CHIROPRACTIC P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AARON JAMES DEGRAFFENREID D.C. (OWNER)
(316) 721-4546
Entity
Organization
Contact information
Practice address
9095 W CENTRAL AVE, WICHITA, KS 67212-3805
(316) 721-4546
(316) 721-4547
Mailing address
9095 W CENTRAL AVE, WICHITA, KS 67212-3805
(316) 721-4546
(316) 721-4547
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-04935
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
062202
BLUE CROSS BLUE SHIELD #
KS
Enumeration date
05/03/2007
Last updated
08/22/2020
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