Individual
LUKE AVERY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
813 W DOUGLAS AVE, WICHITA, KS 67213-4704
(316) 440-4052
(316) 201-4331
Mailing address
813 W DOUGLAS AVE, WICHITA, KS 67213-4704
(316) 440-4052
(316) 201-4331
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0105855
KS
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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