Provider Demographics
NPI:1992108278
Name:HAYSVILLE FAMILY CHIROPRACTIC INC
Entity type:Organization
Organization Name:HAYSVILLE FAMILY CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTEE
Authorized Official - Middle Name:K
Authorized Official - Last Name:METTS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:316-522-2500
Mailing Address - Street 1:401 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HAYSVILLE
Mailing Address - State:KS
Mailing Address - Zip Code:67060-1101
Mailing Address - Country:US
Mailing Address - Phone:316-522-2500
Mailing Address - Fax:316-522-2506
Practice Address - Street 1:401 N MAIN ST
Practice Address - Street 2:
Practice Address - City:HAYSVILLE
Practice Address - State:KS
Practice Address - Zip Code:67060-1101
Practice Address - Country:US
Practice Address - Phone:316-522-2500
Practice Address - Fax:316-522-2506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-01
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0105191111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty