| Custom Chiropractic Center Llc | |
|
6220 Antioch Rd, Suite 200, Shawnee Mission, KS 66202-2866 | |
| (913) 722-1113 | |
| (913) 722-2677 |
| Full Name | Custom Chiropractic Center Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 6220 Antioch Rd, Shawnee Mission, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659562148 | NPI | - | NPPES |
| 33911023 | Other | BLUE CROSS BLUE SHIELD | |
| P00220339 | Other | KS | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 01-04887 (Kansas) | Primary |
| Provider Name | Arvil Lonnie Rudd |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1396832812 PECOS PAC ID: 4183699887 Enrollment ID: I20040827000321 |
| Mailing Address | Practice Location Address |
|---|---|
| Custom Chiropractic Center Llc 6220 Antioch Rd, Suite 200, Shawnee Mission, KS 66202-2866 Ph: (913) 722-1113 | Custom Chiropractic Center Llc 6220 Antioch Rd, Suite 200, Shawnee Mission, KS 66202-2866 Ph: (913) 722-1113 |
Kaitlin Lavigne, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 10000 W 75th St Ste 117, Shawnee Mission, KS 66204 Phone: 913-223-7710 | |
Dr. Arvil Lonnie Rudd, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 6220 Antioch Rd, Ste 200, Shawnee Mission, KS 66202 Phone: 913-722-1113 Fax: 913-722-2677 | |
Dr. Roger Thomas Maher, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7031 Johnson Dr, Shawnee Mission, KS 66202 Phone: 913-677-3353 Fax: 913-677-1096 | |
Healthy Life Chiropractic Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 7410 Switzer St, Shawnee Mission, KS 66203 Phone: 913-962-7408 Fax: 913-962-7416 |