Healthcare Provider Details

I. General information

NPI: 1699608323
Provider Name (Legal Business Name): JOY DENIGAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5316 YACHT HAVEN GRANDE # N107
ST THOMAS VI
00802-5027
US

IV. Provider business mailing address

12204 BUENA VISTA ST
LEAWOOD KS
66209-1509
US

V. Phone/Fax

Practice location:
  • Phone: 304-407-2911
  • Fax:
Mailing address:
  • Phone: 719-744-9199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number12476
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: