Individual
DR. PAUL ALLEN BRACKEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
320 N. ROCK RD, SUITE 300, DERBY, KS 67037
(316) 789-8100
(316) 789-9400
Mailing address
320 N. ROCK RD, SUITE 300, DERBY, KS 67037
(316) 789-8100
(316) 789-9400
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
04628
KS
111N00000X
Chiropractor
Primary
LIC-4-08-2400
KS
Other
Enumeration date
07/03/2006
Last updated
08/09/2010
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