Individual
DAVID L JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
639 S OLIVER ST, SUITE 200, WICHITA, KS 67218-2325
(316) 686-9681
Mailing address
639 S OLIVER ST, SUITE 200, WICHITA, KS 67218-2325
(316) 686-9681
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
3722
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7288JOH
BCBS
KS
Enumeration date
09/14/2006
Last updated
07/08/2007
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