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NPI Code Detail

MEDICARE: DR. ANDREW JON ROY D.C.

MEDICARE: DR. ANDREW JON ROY D.C.
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
1111N00000XChiropractor01-04547KS

General Provider Information

NPI Number : 1225093164
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW JON ROY D.C.
Provider Business Mailing Address
First Line : 2020 N TYLER RD
Second Line : SUITE 112
City : WICHITA
State : KS
Zip : 67212-4905
Country : US
Telephone Number : 316-942-5335
Fax Number : 316-942-5442
Provider Business Practice Location Address
First Line : 2020 N TYLER RD
Second Line : SUITE 112
City : WICHITA
State : KS
Zip : 67212-4905
Country : US
Telephone Number : 316-942-5335
Fax Number : 316-942-5442
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2006
Last Update Date : 08/10/2016

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