Organization
NON- SURGICAL SPINAL CARE OF WICHITA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON CODY (AGENT MANAGER)
(316) 269-0470
Entity
Organization
Contact information
Practice address
1540 N BROADWAY ST, WICHITA, KS 67214-1143
(316) 269-0470
(954) 568-0207
Mailing address
3337 E CENTRAL AVE STE 107, WICHITA, KS 67208-3101
(316) 269-0470
(954) 568-0207
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
—
—
Other
Enumeration date
02/12/2007
Last updated
08/22/2020
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