| NPI | 1366498495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH A FREDERICK Doctor Of Chiropractic/ Owner 620-662-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KS 01-04513) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2021-06-15 |