Individual
MR. GLENN DARRELL BAUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
519 S MAPLE, GARNETT, KS 66032-1427
(785) 448-2422
(785) 448-2427
Mailing address
519 S MAPLE, GARNETT, KS 66032-1427
(785) 448-2422
(785) 448-2427
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104979
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
062219
BCBS
KS
01
—
7005674
AETNA
KS
Enumeration date
08/21/2006
Last updated
09/28/2012
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