Healthcare Provider Details

I. General information

NPI: 1346440807
Provider Name (Legal Business Name): LEIGH KA RENN WARTA STRECKER D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LEIGH KA RENN WARTA D.C.

II. Dates (important events)

Enumeration Date: 07/23/2007
Last Update Date: 05/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1135 COLLEGE DR SUITE C
GARDEN CITY KS
67846-4779
US

IV. Provider business mailing address

1135 COLLEGE DR SUITE C
GARDEN CITY KS
67846-4779
US

V. Phone/Fax

Practice location:
  • Phone: 620-805-5333
  • Fax:
Mailing address:
  • Phone: 620-805-5333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number01-05427
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number1294
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: