Individual
DR. MICHAEL WILLIAM REPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5900 NIEMAN RD STE 300, SHAWNEE, KS 66203-2906
(913) 268-0355
(913) 268-0908
Mailing address
5900 NIEMAN RD, STE 300, SHAWNEE, KS 66203-2906
(913) 268-0355
(913) 268-0908
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0103413
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08607010
BC BS KANSAS
KS
Enumeration date
12/30/2005
Last updated
03/10/2017
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