Provider Demographics
NPI:1902648652
Name:AUXOMA, PLLC
Entity type:Organization
Organization Name:AUXOMA, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JUSTUS
Authorized Official - Middle Name:
Authorized Official - Last Name:KAUFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-312-1807
Mailing Address - Street 1:1601 W DOUGLAS AVE
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67213-4022
Mailing Address - Country:US
Mailing Address - Phone:316-800-1117
Mailing Address - Fax:
Practice Address - Street 1:1601 W DOUGLAS AVE
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67213-4022
Practice Address - Country:US
Practice Address - Phone:316-800-1117
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-12
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center