Provider Demographics
NPI:1033414495
Name:VRANA, JAMES OTHAL II (DC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:OTHAL
Last Name:VRANA
Suffix:II
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:JOEY
Other - Middle Name:
Other - Last Name:VRANA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:219 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GODDARD
Mailing Address - State:KS
Mailing Address - Zip Code:67052-8893
Mailing Address - Country:US
Mailing Address - Phone:316-794-2347
Mailing Address - Fax:316-794-2371
Practice Address - Street 1:219 N MAIN ST
Practice Address - Street 2:
Practice Address - City:GODDARD
Practice Address - State:KS
Practice Address - Zip Code:67052-8893
Practice Address - Country:US
Practice Address - Phone:316-794-2347
Practice Address - Fax:316-794-2371
Is Sole Proprietor?:No
Enumeration Date:2011-01-17
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05373111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor