Provider Demographics
NPI:1467543074
Name:FARNEY, TERRY LOUIS (DC)
Entity Type:Individual
Prefix:
First Name:TERRY
Middle Name:LOUIS
Last Name:FARNEY
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 1:215 S ANDOVER RD
Mailing Address - Street 2:STE C BOX 910
Mailing Address - City:ANDOVER
Mailing Address - State:KS
Mailing Address - Zip Code:67002-7919
Mailing Address - Country:US
Mailing Address - Phone:316-733-2429
Mailing Address - Fax:316-733-2510
Practice Address - Street 1:215 S ANDOVER RD
Practice Address - Street 2:STE C BOX 910
Practice Address - City:ANDOVER
Practice Address - State:KS
Practice Address - Zip Code:67002-7919
Practice Address - Country:US
Practice Address - Phone:316-733-2429
Practice Address - Fax:316-733-2510
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-03608111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS60964OtherBCBS
KS60964OtherBCBS
KST43870Medicare UPIN