Healthcare Provider Details
I. General information
NPI: 1285698316
Provider Name (Legal Business Name): WESLEY A HARDEN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 04/14/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5830 W CENTRAL AVE
WICHITA KS
67212-2840
US
IV. Provider business mailing address
240 E FISCHER LN
KINGMAN KS
67068-9000
US
V. Phone/Fax
- Phone: 316-946-0606
- Fax: 316-946-0553
- Phone: 620-532-2510
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 01-04589 |
| License Number State | KS |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NS0005X |
| Taxonomy | Sports Physician Chiropractor |
| License Number | 01-04589 |
| License Number State | KS |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: