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PRAIRIE SAGE FUNCTIONAL MEDICINE AND KINESIOLOGY LLC NPI 1265981385


NPI Information

NPI: 1265981385
Provider Name: PRAIRIE SAGE FUNCTIONAL MEDICINE AND KINESIOLOGY LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
519 W MARY ST STE 115
GARDEN CITY, KS
ZIP 67846
Phone: (620) 276-8743
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PRAIRIE SAGE FUNCTIONAL MEDICINE AND KINESIOLOGY LLC is a chiropractor in Garden City, KS. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. PRAIRIE SAGE FUNCTIONAL MEDICINE AND KINESIOLOGY LLC NPI is 1265981385. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

519 W MARY ST STE 115
GARDEN CITY, KS
ZIP 67846-782
Phone: (620) 276-8743

The provider's authorized official is George Stanton .
The authorized official title is Owner/doctor and has the following contact phone number (620) 276-8743.

The enumeration date for this NPI number is 9/30/2016 and was last updated on 9/30/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor0105657KANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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