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NPI Code Detail

MEDICARE: DR. SHIRLEY FAY SAGERTY D.C., C.C.S.P.

MEDICARE:  DR. SHIRLEY FAY SAGERTY  D.C., C.C.S.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111NS0005XSports Physician Chiropractor01-04237KS

General Provider Information

NPI Number : 1033218052
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHIRLEY FAY SAGERTY D.C., C.C.S.P.
Provider Business Mailing Address
First Line : 2434 N WOODLAWN BLVD
Second Line : STE 170
City : WICHITA
State : KS
Zip : 67220-3959
Country : US
Telephone Number : 316-683-5490
Fax Number : 316-683-0630
Provider Business Practice Location Address
First Line : 2434 N WOODLAWN BLVD
Second Line : STE 170
City : WICHITA
State : KS
Zip : 67220-3959
Country : US
Telephone Number : 316-683-5490
Fax Number : 316-683-0630
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2006
Last Update Date : 12/05/2016

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Directions to “ DR. SHIRLEY FAY SAGERTY D.C., C.C.S.P.” Practice Location

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