NPI Code Details Logo

NPI 1720947195

NPI 1720947195 : BRODY CATES : WICHITA, KS

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1720947195
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    BRODY CATES
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/20/2026
-----------------------------------------------------
    Last Update Date     |    01/20/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    13213 W 21ST CT N STE 101 
-----------------------------------------------------
    City                 |    WICHITA
-----------------------------------------------------
    State                |    KS
-----------------------------------------------------
    Zip                  |    67235-9625
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    316-247-5458
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    13213 W 21ST CT N STE 101 
-----------------------------------------------------
    City                 |    WICHITA
-----------------------------------------------------
    State                |    KS
-----------------------------------------------------
    Zip                  |    67235-9625
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    316-247-5458
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    111N00000X
-----------------------------------------------------
    Taxonomy Name        |    Chiropractor
-----------------------------------------------------
    License Number       |    01-06454
-----------------------------------------------------
    License Number State |    KS
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.