| NPI | 1639242431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL ALLEN BRACKEEN Owner 316-789-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KS LIC-4-08-2400) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KS 04628) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2012-01-26 |