MEDICARE: AITKENS FAMILY CHIROPRACTIC CENTER, P.A.

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
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1669647194
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AITKENS FAMILY CHIROPRACTIC CENTER, P.A.

Provider Business Mailing Address
First Line	:	13047 KANSAS AVE
Second Line	:
City	:	BONNER SPRINGS
State	:	KS
Zip	:	66012-9206
Country	:	US
Telephone Number	:	913-441-4050
Fax Number	:	913-441-9300

Provider Business Practice Location Address
First Line	:	13047 KANSAS AVE
Second Line	:
City	:	BONNER SPRINGS
State	:	KS
Zip	:	66012-9206
Country	:	US
Telephone Number	:	913-441-4050
Fax Number	:	913-441-9300

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RONALD C. AITKENS
Credential	:	D.C.
Telephone Number	:	913-441-4050

Provider Enumeration Date	:	04/25/2008
Last Update Date	:	04/25/2008

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