Provider Demographics
NPI:1215808761
Name:PALMER, CASEY JONES (DC)
Entity type:Individual
Prefix:DR
First Name:CASEY
Middle Name:JONES
Last Name:PALMER
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 1:2342 S UPLAND HILLS ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67235-1074
Mailing Address - Country:US
Mailing Address - Phone:316-640-5691
Mailing Address - Fax:
Practice Address - Street 1:7011 W CENTRAL AVE STE 124
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67212-3386
Practice Address - Country:US
Practice Address - Phone:316-722-5555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-06430111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor