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Individual

TIMOTHY W. DEWITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D,C., J.D.

Contact information

Practice address
9535 STATE AVE, KANSAS CITY, KS 66111-1815
(913) 299-0911
Mailing address
9535 STATE AVE, KANSAS CITY, KS 66111-1815
(913) 299-0911

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5199
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
55371
BLUE CROSS
FL
Enumeration date
02/26/2007
Last updated
08/11/2008
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