Provider Demographics
NPI:1306846456
Name:WARTA, RONALD KAY (DC)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:KAY
Last Name:WARTA
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 1:200 SW 30TH ST
Mailing Address - Street 2:103
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66611-2232
Mailing Address - Country:US
Mailing Address - Phone:785-267-1300
Mailing Address - Fax:785-267-2522
Practice Address - Street 1:200 SW 30TH ST
Practice Address - Street 2:103
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66611-2232
Practice Address - Country:US
Practice Address - Phone:785-267-1300
Practice Address - Fax:785-267-2522
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-29
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-03417111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KST-43995Medicare UPIN