Individual
DR. JESSE D WALDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
11652 W. 75 ST., SHAWNEE, KS 66214
(913) 825-1235
Mailing address
11652 W 75TH ST, SHAWNEE, KS 66214-1372
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
01-05054
KS
Other
Enumeration date
08/13/2008
Last updated
08/13/2008
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