Healthcare Provider Details

I. General information

NPI: 1275449449
Provider Name (Legal Business Name): CHYANE MCNEAL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 E ORME ST
WICHITA KS
67207-2473
US

IV. Provider business mailing address

3312 CLINTON PKWY
LAWRENCE KS
66047-3624
US

V. Phone/Fax

Practice location:
  • Phone: 316-262-0505
  • Fax:
Mailing address:
  • Phone: 785-841-4138
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberCERTIFICATE
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number14930
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: