Provider Demographics
NPI:1467162529
Name:HOWELL, MASON (DC)
Entity Type:Individual
Prefix:
First Name:MASON
Middle Name:
Last Name:HOWELL
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 1:2350 N GREENWICH RD STE 500
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67226-8239
Mailing Address - Country:US
Mailing Address - Phone:316-636-5550
Mailing Address - Fax:316-636-5558
Practice Address - Street 1:2350 N GREENWICH RD
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67226-8269
Practice Address - Country:US
Practice Address - Phone:816-718-3699
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-30
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-06142111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor