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NPI Code Detail

MEDICARE: JAIMISON ASHTON PECKHAM

MEDICARE: JAIMISON ASHTON PECKHAM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor0106453KS

General Provider Information

NPI Number : 1275482119
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAIMISON ASHTON PECKHAM
Provider Business Mailing Address
First Line : 8500 W 131ST TER APT 1834
Second Line :
City : OVERLAND PARK
State : KS
Zip : 66213-5157
Country : US
Telephone Number : 870-317-7185
Fax Number :
Provider Business Practice Location Address
First Line : 2113 E KANSAS CITY RD
Second Line :
City : OLATHE
State : KS
Zip : 66061-7050
Country : US
Telephone Number : 913-791-0144
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2026
Last Update Date : 01/23/2026

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Directions to “ JAIMISON ASHTON PECKHAM ” Practice Location

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