| NPI | 1477663623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA MICHELLE GOWEN Chiropractor/Owner 620-342-5663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KS 01-04614) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |