Keith Sparks, DC | |
7829 E Rockhill St, Ste 303, Wichita, KS 67206-3914 | |
(316) 854-3010 | |
(316) 854-1029 |
Full Name | Keith Sparks |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 9 Years |
Location | 7829 E Rockhill St, Wichita, Kansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649659467 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 01-05719 (Kansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ict Muscle And Joint Clinic Llc | 1557654670 | 3 |
Provider Name | Ict Muscle & Joint Clinic Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1417312075 PECOS PAC ID: 1557654670 Enrollment ID: O20160727002103 |
Mailing Address | Practice Location Address |
---|---|
Keith Sparks, DC 7829 E Rockhill St, Ste 303, Wichita, KS 67206-3914 Ph: (316) 854-3010 | Keith Sparks, DC 7829 E Rockhill St, Ste 303, Wichita, KS 67206-3914 Ph: (316) 854-3010 |
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