Provider Demographics
NPI:1154021715
Name:FLICKINGER, SEAN D KRYLIE (DC)
Entity type:Individual
Prefix:DR
First Name:SEAN D
Middle Name:KRYLIE
Last Name:FLICKINGER
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 1:210 E FRONTVIEW ST STE C
Mailing Address - Street 2:
Mailing Address - City:DODGE CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67801-5072
Mailing Address - Country:US
Mailing Address - Phone:620-371-6166
Mailing Address - Fax:620-371-6371
Practice Address - Street 1:210 E FRONTVIEW ST STE C
Practice Address - Street 2:
Practice Address - City:DODGE CITY
Practice Address - State:KS
Practice Address - Zip Code:67801-5072
Practice Address - Country:US
Practice Address - Phone:620-371-6166
Practice Address - Fax:620-371-6371
Is Sole Proprietor?:No
Enumeration Date:2023-03-03
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-06255111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor