Healthcare Provider Details

I. General information

NPI: 1023944048
Provider Name (Legal Business Name): AUSTIN SKOBA D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6400 W 110TH ST STE 102
OVERLAND PARK KS
66211-1586
US

IV. Provider business mailing address

6400 W 110TH ST STE 102
OVERLAND PARK KS
66211-1586
US

V. Phone/Fax

Practice location:
  • Phone: 913-213-3776
  • Fax:
Mailing address:
  • Phone: 913-213-3776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number01-06508
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: