Individual
DR. CALLIE ROSEANN BROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
40 VILLAGE PLZ STE A, LIBERAL, KS 67901-2886
(620) 624-2702
Mailing address
40 VILLAGE PLZ STE A, LIBERAL, KS 67901-2886
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-06071
KS
Other
Enumeration date
08/06/2020
Last updated
09/09/2020
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