Provider Demographics
NPI:1306053111
Name:MCGEE KINESIOLOGY, PA
Entity type:Organization
Organization Name:MCGEE KINESIOLOGY, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:B
Authorized Official - Last Name:MCGEE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:316-687-5362
Mailing Address - Street 1:214 S ROCK RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67207-1161
Mailing Address - Country:US
Mailing Address - Phone:316-687-5362
Mailing Address - Fax:316-687-5365
Practice Address - Street 1:214 S ROCK RD
Practice Address - Street 2:SUITE 103
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67207-1161
Practice Address - Country:US
Practice Address - Phone:316-687-5362
Practice Address - Fax:316-687-5365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2010-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-04010111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS060999OtherBLUE CROSS BLUE SHIELD
KS060999OtherBLUE CROSS BLUE SHIELD