Provider Demographics
NPI:1093807380
Name:CATES, REBEKAH LYNN (DC)
Entity Type:Individual
Prefix:DR
First Name:REBEKAH
Middle Name:LYNN
Last Name:CATES
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 1:4425 W ZOO BLVD
Mailing Address - Street 2:STE 4
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67212-1620
Mailing Address - Country:US
Mailing Address - Phone:316-945-5998
Mailing Address - Fax:316-945-7846
Practice Address - Street 1:4425 W ZOO BLVD
Practice Address - Street 2:STE 4
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67212-1620
Practice Address - Country:US
Practice Address - Phone:316-945-5998
Practice Address - Fax:316-945-7846
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2011-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-04564111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS060009Medicare ID - Type Unspecified