| Fenn Chiropractic | |
|
2548 N Maize Ct Ste 104 Wichita KS 67205-7348 | |
| (316) 722-4247 | |
| (316) 722-4287 |
| Full Name | Fenn Chiropractic |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 2548 N Maize Ct Ste 104, Wichita, Kansas |
| Authorized Official Name and Position | Jeffrey D Fenn (CEO) |
| Authorized Official Contact | 3167224247 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fenn Chiropractic 2548 N Maize Ct Ste 104 Wichita KS 67205-7348 Ph: (316) 722-4247 | Fenn Chiropractic 2548 N Maize Ct Ste 104 Wichita KS 67205-7348 Ph: (316) 722-4247 |
| NPI Number | 1366618084 |
|---|---|
| Provider Enumeration Date | 05/02/2008 |
| Last Update Date | 06/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366618084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 0422530 (Kansas) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 44143 (Kansas) | Secondary |
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