Provider Demographics
NPI:1245427541
Name:JOYCE, VINCENT PAUL (DC)
Entity Type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:PAUL
Last Name:JOYCE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:VINCENT
Other - Middle Name:PAUL
Other - Last Name:NYE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:21620 MIDLAND DR
Mailing Address - Street 2:STE B
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66218-9064
Mailing Address - Country:US
Mailing Address - Phone:913-422-1900
Mailing Address - Fax:913-422-1900
Practice Address - Street 1:21620 MIDLAND DR
Practice Address - Street 2:STE B
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66218-9064
Practice Address - Country:US
Practice Address - Phone:913-422-1900
Practice Address - Fax:913-422-1900
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-01
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0105123111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor