Ryan A Prosser, DC | |
15445 Metcalf Ave, Overland Park, KS 66223-2801 | |
(913) 633-3114 | |
Not Available |
Full Name | Ryan A Prosser |
---|---|
Gender | Male |
Speciality | Chiropractor - Orthopedic |
Location | 15445 Metcalf Ave, Overland Park, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720693724 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NX0800X | Chiropractor - Orthopedic | 01-06077 (Kansas) | Primary |
Provider Name | Excel Spine Sport And Performance Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1235564899 PECOS PAC ID: 4082841283 Enrollment ID: O20131213001779 |
Mailing Address | Practice Location Address |
---|---|
Ryan A Prosser, DC 15445 Metcalf Ave, Overland Park, KS 66223-2801 Ph: (913) 633-3114 | Ryan A Prosser, DC 15445 Metcalf Ave, Overland Park, KS 66223-2801 Ph: (913) 633-3114 |
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