Healthcare Provider Details

I. General information

NPI: 1982525655
Provider Name (Legal Business Name): GWK WELLNESSES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 MAIN ST STE 204
WINFIELD KS
67156-2861
US

IV. Provider business mailing address

800 MAIN ST STE 106
WINFIELD KS
67156-2864
US

V. Phone/Fax

Practice location:
  • Phone: 620-660-2717
  • Fax:
Mailing address:
  • Phone: 620-660-2717
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. GARRET KENNEDY
Title or Position: DR./EMPLOYEE
Credential: DC
Phone: 620-660-2717