Healthcare Provider Details

I. General information

NPI: 1891806113
Provider Name (Legal Business Name): DANIEL F HURST D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 07/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 E 30TH AVE STE A
HUTCHINSON KS
67502-1263
US

IV. Provider business mailing address

1700 E 30TH AVE STE A
HUTCHINSON KS
67502-1263
US

V. Phone/Fax

Practice location:
  • Phone: 620-662-6607
  • Fax: 620-662-6850
Mailing address:
  • Phone: 620-662-6607
  • Fax: 620-662-6850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberC3327
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: