NPI | 1972895951 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERIDAN SCOTT RENSHAW Owner/Chiropractor 620-221-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: KS 01-04795) |
Enumeration Date | 2011-05-09 |
Last Update Date | 2012-08-27 |