Organization
FORM JOINT & MUSCLE SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL LYNN RAY DC (CHIROPRACTOR / OWNER)
(316) 361-0620
Entity
Organization
Contact information
Practice address
1145 N ANDOVER RD STE 109, ANDOVER, KS 67002-8902
(316) 361-0620
Mailing address
1145 N ANDOVER RD STE 109, ANDOVER, KS 67002-8902
(316) 361-0620
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033535695
—
KS
Enumeration date
10/02/2019
Last updated
10/02/2019
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