MEDICARE: LIVING STONE CHIROPRACTIC & ACUPUNCTURE LLC

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
1	111N00000X	Chiropractor	01-05765	KS

General Provider Information

NPI Number	:	1043676638
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIVING STONE CHIROPRACTIC & ACUPUNCTURE LLC

Provider Business Mailing Address
First Line	:	2730 N AMIDON AVE STE A
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67204-4953
Country	:	US
Telephone Number	:	316-613-3311
Fax Number	:	316-613-3311

Provider Business Practice Location Address
First Line	:	2730 N AMIDON AVE STE A
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67204-4953
Country	:	US
Telephone Number	:	316-613-3311
Fax Number	:	316-613-3311

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JOSHUA MAY
Credential	:	D.C.
Telephone Number	:	316-613-3311

Provider Enumeration Date	:	01/12/2016
Last Update Date	:	01/12/2016

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