Provider Demographics
NPI:1598597700
Name:HEVEL, CHANTIEL DAWN (DC)
Entity type:Individual
Prefix:
First Name:CHANTIEL
Middle Name:DAWN
Last Name:HEVEL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6600 COLLEGE BLVD STE 135
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1522
Mailing Address - Country:US
Mailing Address - Phone:785-577-3179
Mailing Address - Fax:
Practice Address - Street 1:6600 COLLEGE BLVD STE 135
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1522
Practice Address - Country:US
Practice Address - Phone:785-577-3179
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-15
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-06290111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation