| Integrated Medical Providers | |
|
2020 N Tyler Rd Ste 112 Wichita KS 67212-4916 | |
| (316) 942-5335 | |
| Not Available |
| Full Name | Integrated Medical Providers |
|---|---|
| Speciality | Chiropractor |
| Location | 2020 N Tyler Rd Ste 112, Wichita, Kansas |
| Authorized Official Name and Position | Erica Davis (ADMINISTRATOR) |
| Authorized Official Contact | 3169425335 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Medical Providers 2020 N Tyler Rd Ste 112 Wichita KS 67212-4916 Ph: (316) 942-5335 | Integrated Medical Providers 2020 N Tyler Rd Ste 112 Wichita KS 67212-4916 Ph: (316) 942-5335 |
| NPI Number | 1437921434 |
|---|---|
| Provider Enumeration Date | 10/24/2023 |
| Last Update Date | 10/24/2023 |
| Medicare PECOS PAC ID | 6507306347 |
|---|---|
| Medicare Enrollment ID | O20240909000605 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437921434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Brian Asbury |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1922489046 PECOS PAC ID: 0042524746 Enrollment ID: I20150807014138 |
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