Organization
LIBERAL FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JULIO JIMENEZ D.C. (PRESIDENT)
(620) 624-7773
Entity
Organization
Contact information
Practice address
110 LILAC DR, LIBERAL, KS 67901-2059
(620) 624-7773
(620) 626-7396
Mailing address
110 LILAC DR, LIBERAL, KS 67901-2059
(620) 624-7773
(620) 626-7396
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104874
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
660035
BCBS OF KANSAS
KS
Enumeration date
03/22/2006
Last updated
08/22/2020
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