MEDICARE: LINDSLEY KINESIOLOGY 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	111N00000X	Chiropractor	01-4973	KS

General Provider Information

NPI Number	:	1932302445
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINDSLEY KINESIOLOGY CLINIC

Provider Business Mailing Address
First Line	:	5205 E. KELLOGG DR.
Second Line	:	SUITE 101
City	:	WICHITA
State	:	KS
Zip	:	67218-1634
Country	:	US
Telephone Number	:	316-684-0550
Fax Number	:	316-684-6597

Provider Business Practice Location Address
First Line	:	5205 E. KELLOGG DR.
Second Line	:	SUITE 101
City	:	WICHITA
State	:	KS
Zip	:	67218-1634
Country	:	US
Telephone Number	:	316-684-0550
Fax Number	:	316-684-6597

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ALLAN JAMES LINDSLEY
Credential	:	D.C.
Telephone Number	:	316-200-0376

Provider Enumeration Date	:	06/11/2007
Last Update Date	:	08/22/2020

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