Individual
DEVAN JENAE LYSEN- MAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
9320 E CENTRAL AVE, WICHITA, KS 67206-2555
(316) 247-6034
Mailing address
9320 E CENTRAL AVE, WICHITA, KS 67206-2555
(316) 247-6034
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-05589
KS
Other
Enumeration date
11/06/2013
Last updated
10/24/2018
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