Individual
DR. JILL S BERGKAMP-ENGLE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
11330 E CENTRAL AVE, STE 500, WICHITA, KS 67206-2836
(316) 682-6161
(316) 682-7650
Mailing address
11330 E CENTRAL AVE, STE 500, WICHITA, KS 67206-2836
(316) 682-6161
(316) 682-7650
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4762
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060939
BCBS
KS
01
—
141894
COVENTRY
KS
01
—
14550
PREFERRED HEALTH SYSTEMS
KS
01
—
7590418
AETNA
KS
Enumeration date
06/24/2005
Last updated
07/08/2007
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