Individual
CHRISTOPHER J TIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
15203 W 87TH STREET PKWY, LENEXA, KS 66219-1409
(913) 307-0150
(913) 599-1548
Mailing address
15203 W 87TH STREET PKWY, LENEXA, KS 66219-1409
(913) 307-0150
(913) 599-1548
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-04715
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28235029
BCBS PROVIDER NUMBER
KS
01
—
372575
BCBS STATE EMPLOYEES #
KS
01
—
N840000
MEDICARE GROUP NUMBER
KS
Enumeration date
08/30/2006
Last updated
10/12/2020
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