MEDICARE: DR. RYAN DEAN JONES 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
1	111N00000X	Chiropractor	01-05481	KS

General Provider Information

NPI Number	:	1821358995
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RYAN DEAN JONES D.C

Provider Business Mailing Address
First Line	:	2284 S SANTA FE AVE
Second Line	:
City	:	CHANUTE
State	:	KS
Zip	:	66720-3252
Country	:	US
Telephone Number	:	620-431-6513
Fax Number	:

Provider Business Practice Location Address
First Line	:	2617 S SANTA FE AVE
Second Line	:
City	:	CHANUTE
State	:	KS
Zip	:	66720-3206
Country	:	US
Telephone Number	:	620-431-6513
Fax Number	:	620-431-6514

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2012
Last Update Date	:	02/02/2017

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