Provider Demographics
NPI:1558346445
Name:PATYK, KATHRYN (DC)
Entity Type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:
Last Name:PATYK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2434 N WOODLAWN ST STE 170
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67220-3959
Mailing Address - Country:US
Mailing Address - Phone:316-636-4538
Mailing Address - Fax:316-683-0630
Practice Address - Street 1:2434 N WOODLAWN ST STE 170
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67220-3959
Practice Address - Country:US
Practice Address - Phone:316-636-4538
Practice Address - Fax:316-683-0630
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-03599111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS2972OtherPREFERRED HEALTH SYSTEMS
KS005447OtherBLUE CROSS BLUE SHIELD
KS647389OtherACN
KST77048Medicare UPIN
KS647389OtherACN