Organization
PACEY CHIROPRACTIC OFFICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY J PACEY DC (PRESIDENT)
(620) 326-3611
Entity
Organization
Contact information
Practice address
306 WEST 8TH, WELLINGTON, KS 67152-3923
(620) 326-3611
(620) 326-6939
Mailing address
306 WEST 8TH, WELLINGTON, KS 67152-3923
(620) 326-3611
(620) 326-6939
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007425
BLUE CROSS BLUE SHIELD
KS
01
—
DG2683
RAILROAD MEDICARE
—
Enumeration date
09/29/2006
Last updated
12/10/2007
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