Provider Demographics
NPI:1528000551
Name:PAYNE, BRYAN KENDALL (DC)
Entity Type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:KENDALL
Last Name:PAYNE
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 1:11011 KING ST STE 105
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-1203
Mailing Address - Country:US
Mailing Address - Phone:913-386-5100
Mailing Address - Fax:913-386-5102
Practice Address - Street 1:11011 KING ST STE 105
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-1203
Practice Address - Country:US
Practice Address - Phone:913-386-5100
Practice Address - Fax:913-386-5102
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS4751111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS7806731OtherAETNA
KS30454029OtherBCBSKC
KS663584OtherUHC
KS663584OtherUHC
KS7806731OtherAETNA