Provider Demographics
NPI:1114981719
Name:MULLER, RYAN PAUL (DC)
Entity type:Individual
Prefix:DR
First Name:RYAN
Middle Name:PAUL
Last Name:MULLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 N WACO ST STE 200
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67202-1125
Mailing Address - Country:US
Mailing Address - Phone:316-768-8843
Mailing Address - Fax:316-260-2326
Practice Address - Street 1:355 N WACO ST STE 200
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67202-1125
Practice Address - Country:US
Practice Address - Phone:316-768-8843
Practice Address - Fax:316-260-2326
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-12
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05011111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS062249OtherBLUE CROSS BLUE SHIELD
KS062249Medicare ID - Type Unspecified
KS062249OtherBLUE CROSS BLUE SHIELD