Individual
DR. JEREMY D BENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
813 W DOUGLAS AVE, WICHITA, KS 67213-4704
(316) 440-4052
Mailing address
813 W DOUGLAS AVE, WICHITA, KS 67213-4704
(316) 440-4052
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
04869
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
062077
BLUE CROSS
KS
01
—
062098
ALLL OTHERS
KS
Enumeration date
10/04/2006
Last updated
11/01/2019
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