Individual
DR. CHARLES SHIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2400 SW 29TH ST STE 231, TOPEKA, KS 66611-1738
(785) 224-8801
Mailing address
2224 E 141ST ST, CARBONDALE, KS 66414-9106
(785) 224-8801
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-05503
KS
Other
Enumeration date
11/11/2012
Last updated
11/11/2012
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