Individual
DR. R EILLEEN DECENA WILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
2434 N WOODLAWN BLVD, STE. # 170, WICHITA, KS 67220-3997
(316) 683-5490
(316) 683-0630
Mailing address
2434 N WOODLAWN ST, STE. # 170, WICHITA, KS 67220-3959
(316) 683-5490
(316) 683-0630
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-05015
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16-1745407
TAX IDENTIFICATION
—
Enumeration date
09/15/2006
Last updated
02/25/2015
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