Provider Demographics
NPI:1265499305
Name:GUY, DENNIS W (DC)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:W
Last Name:GUY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:803 W CLARK AVE
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:KS
Mailing Address - Zip Code:67010-1346
Mailing Address - Country:US
Mailing Address - Phone:316-775-5001
Mailing Address - Fax:316-775-1614
Practice Address - Street 1:803 W CLARK AVE
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:KS
Practice Address - Zip Code:67010-1346
Practice Address - Country:US
Practice Address - Phone:316-775-5001
Practice Address - Fax:316-775-1614
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSC3407111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS0000005427OtherBCBSKS
KS0000005427Medicare ID - Type Unspecified