Healthcare Provider Details

I. General information

NPI: 1730115379
Provider Name (Legal Business Name): AARON LEE CHENEY D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/24/2006
Last Update Date: 11/02/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

928 W 6TH ST
HOLTON KS
66436-1222
US

IV. Provider business mailing address

928 W 6TH ST
HOLTON KS
66436
US

V. Phone/Fax

Practice location:
  • Phone: 785-364-4151
  • Fax: 785-364-2774
Mailing address:
  • Phone: 785-364-4151
  • Fax: 785-364-2774

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4880
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: