Individual
EDWARD D MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
928 W 6TH ST, HOLTON, KS 66436-1222
(785) 364-4151
(785) 364-2774
Mailing address
928 W 6TH ST, HOLTON, KS 66436-1222
(785) 364-4151
(785) 364-2774
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-03309
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023557
BCBS
KS
01
—
10870827
CAQH
KS
Enumeration date
08/30/2006
Last updated
09/24/2013
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