Individual
DR. WESLEY SCOTT DETRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3040 S SENECA ST, SUITE #4, WICHITA, KS 67217-3246
(316) 522-6702
(316) 522-7790
Mailing address
3040 S SENECA ST, SUITE #4, WICHITA, KS 67217-3246
(316) 522-6702
(316) 522-7790
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-05112
KS
111N00000X
Chiropractor
2005032885
MO
111N00000X
Chiropractor
3766
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
694221
ACN PROVIDER ID
MO
Enumeration date
12/29/2006
Last updated
06/18/2008
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