Provider Demographics
NPI:1174649164
Name:FARNEY CHIROPRACTIC CLINIC
Entity Type:Organization
Organization Name:FARNEY CHIROPRACTIC CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:FARNEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:316-733-2429
Mailing Address - Street 1:215 S ANDOVER RD
Mailing Address - Street 2:BOX 910 STE C
Mailing Address - City:ANDOVER
Mailing Address - State:KS
Mailing Address - Zip Code:67002-7919
Mailing Address - Country:US
Mailing Address - Phone:316-733-2429
Mailing Address - Fax:316-733-2510
Practice Address - Street 1:215 S ANDOVER RD
Practice Address - Street 2:BOX 910 STE C
Practice Address - City:ANDOVER
Practice Address - State:KS
Practice Address - Zip Code:67002-7919
Practice Address - Country:US
Practice Address - Phone:316-733-2429
Practice Address - Fax:316-733-2510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-03608261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS60946OtherBCBS CAP PROGRAM
KS60946OtherBCBS CAP PROGRAM