Organization
KIDWELL CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHLEY THOMAS KIDWELL D.C. (CHIROPRACTOR)
(913) 575-0763
Entity
Organization
Contact information
Practice address
106 W 8TH ST STE A, HORTON, KS 66439-1666
(913) 575-0763
(785) 264-4702
Mailing address
PO BOX 106, HORTON, KS 66439-0106
(913) 575-0763
(785) 264-4702
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-04904
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
062327
BCBS OF KS PROVIDER ID
KS
01
—
660153
MEDICARE GROUP ID
KS
Enumeration date
07/22/2006
Last updated
06/22/2023
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