Dr Emily Rene Gomes, DC | |
2604 W 9th St N, Wichita, KS 67203-4731 | |
(316) 269-2692 | |
Not Available |
Full Name | Dr Emily Rene Gomes |
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Gender | Female |
Speciality | Chiropractor |
Location | 2604 W 9th St N, Wichita, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720765597 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 0106272 (Kansas) | Primary |
Provider Name | Jordan Chiropractic Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1639892102 PECOS PAC ID: 1355711284 Enrollment ID: O20230110001225 |
Mailing Address | Practice Location Address |
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Dr Emily Rene Gomes, DC 2604 W 9th St N, Wichita, KS 67203-4731 Ph: (316) 269-2692 | Dr Emily Rene Gomes, DC 2604 W 9th St N, Wichita, KS 67203-4731 Ph: (316) 269-2692 |
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