MEDICARE: FARNEY CHIROPRACTIC CLINIC

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	261Q00000X	Clinic/Center	01-03608	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	60946	OTHER	KS	BCBS CAP PROGRAM

General Provider Information

NPI Number	:	1174649164
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FARNEY CHIROPRACTIC CLINIC

Provider Business Mailing Address
First Line	:	215 S ANDOVER RD
Second Line	:	BOX 910 STE C
City	:	ANDOVER
State	:	KS
Zip	:	67002-7919
Country	:	US
Telephone Number	:	316-733-2429
Fax Number	:	316-733-2510

Provider Business Practice Location Address
First Line	:	215 S ANDOVER RD
Second Line	:	BOX 910 STE C
City	:	ANDOVER
State	:	KS
Zip	:	67002-7919
Country	:	US
Telephone Number	:	316-733-2429
Fax Number	:	316-733-2510

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. TERRY LOUIS FARNEY
Credential	:	D.C.
Telephone Number	:	316-733-2429

Provider Enumeration Date	:	03/21/2007
Last Update Date	:	08/22/2020

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