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Individual

DR. MARK E. RENO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1610 E LINCOLN ST, WICHITA, KS 67211
(316) 524-5700
(316) 524-0707
Mailing address
1610 E LINCOLN ST, WICHITA, KS 67211-3625
(316) 524-5700
(316) 524-0707

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-03989
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060807
BLUE CROSS BLUE SHIELD
KS
Enumeration date
05/02/2006
Last updated
12/02/2022
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