Provider Demographics
NPI:1578194916
Name:O'CONNOR, ALYSSA LEA (DC)
Entity Type:Individual
Prefix:DR
First Name:ALYSSA
Middle Name:LEA
Last Name:O'CONNOR
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ALYSSA
Other - Middle Name:LEA
Other - Last Name:FOLLMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:22386 S HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:KS
Mailing Address - Zip Code:66083-3148
Mailing Address - Country:US
Mailing Address - Phone:913-592-0010
Mailing Address - Fax:
Practice Address - Street 1:22386 S HARRISON ST
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:KS
Practice Address - Zip Code:66083-3148
Practice Address - Country:US
Practice Address - Phone:913-592-0010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-03
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSSTUDENT111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor