Provider Demographics
NPI:1275631186
Name:KABLER, CHRISTOPHER ALLEN (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:ALLEN
Last Name:KABLER
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 1:14808 E SUNDANCE CT
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67230-7190
Mailing Address - Country:US
Mailing Address - Phone:316-721-3003
Mailing Address - Fax:316-721-3001
Practice Address - Street 1:2290 N TYLER RD STE 100
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67205-8760
Practice Address - Country:US
Practice Address - Phone:316-721-3003
Practice Address - Fax:316-721-3001
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-04107111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS060101Medicare ID - Type Unspecified
KSU38616Medicare UPIN