Organization
ADVANCED HEALTH CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC D. KISSINGER D.C. (DIRECTOR)
(785) 841-2218
Entity
Organization
Contact information
Practice address
3017 W 6TH ST STE A, LAWRENCE, KS 66049-2364
(785) 841-2218
Mailing address
3017 W 6TH ST STE A, LAWRENCE, KS 66049-2364
(785) 841-2218
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
660214
BLUE CROSS BLUE SHIELD
KS
01
—
DN2494
RAILROAD MEDICARE
KS
Enumeration date
04/02/2008
Last updated
10/20/2008
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