Provider Demographics
NPI:1073506085
Name:ARNETT, VINTON K (DC,PA)
Entity Type:Individual
Prefix:
First Name:VINTON
Middle Name:K
Last Name:ARNETT
Suffix:
Gender:M
Credentials:DC,PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2705 VINE ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-1948
Mailing Address - Country:US
Mailing Address - Phone:785-628-3622
Mailing Address - Fax:785-628-3922
Practice Address - Street 1:2705 VINE ST
Practice Address - Street 2:STE 5
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-1900
Practice Address - Country:US
Practice Address - Phone:785-628-3622
Practice Address - Fax:785-628-3922
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-24
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-03338111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS062091OtherBCBSKS
KST43990Medicare UPIN
KS062091OtherBCBSKS