Organization
BRACKEEN CHIROPRACTIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL ALLEN BRACKEEN D.C. (OWNER)
(316) 789-8100
Entity
Organization
Contact information
Practice address
320 N. ROCK RD SUITE 300, BRACKEEN CHIROPRACTIC, DERBY, KS 67037
(316) 789-8100
(316) 789-9400
Mailing address
320 N. ROCK RD SUITE 300, BRACKEEN CHIROPRACTIC, 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
11/17/2006
Last updated
01/26/2012
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