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NPI Code Detail

MEDICARE: DR. KATHRYN PATYK D.C.

MEDICARE: DR. KATHRYN PATYK 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
1111N00000XChiropractor01-03599KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12972OTHERKSPREFERRED HEALTH SYSTEMS
2005447OTHERKSBLUE CROSS BLUE SHIELD
3647389OTHERKSACN

General Provider Information

NPI Number : 1558346445
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHRYN PATYK D.C.
Provider Business Mailing Address
First Line : 2434 N WOODLAWN ST STE 170
Second Line :
City : WICHITA
State : KS
Zip : 67220-3959
Country : US
Telephone Number : 316-636-4538
Fax Number : 316-683-0630
Provider Business Practice Location Address
First Line : 2434 N WOODLAWN ST STE 170
Second Line :
City : WICHITA
State : KS
Zip : 67220-3959
Country : US
Telephone Number : 316-636-4538
Fax Number : 316-683-0630
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2005
Last Update Date : 07/08/2007

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