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Individual

FRANK A JIMENEZ II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
13200 W 95TH ST, LENEXA, KS 66215-3731
(913) 888-2066
(913) 888-4851
Mailing address
13200 W 95TH ST, LENEXA, KS 66215-3731
(913) 888-2066
(913) 888-4851

Taxonomy

Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
0104988
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02666012
BC/BS
KS
01
34179027
BC/BS
KS
01
7400697
AETNA
KS
Enumeration date
03/07/2006
Last updated
07/08/2007
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