Individual
MR. TREVON TRENT BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
19307 EAST HWY S, CIMARRON, KS 67835
(620) 855-7253
Mailing address
PO BOX 1031, 19307 EAST HWY S, CIMARRON, KS 67835
(620) 855-7253
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
KS104611
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62266
BLUE CROSS OF KS
KS
Enumeration date
08/09/2006
Last updated
07/08/2007
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