Provider Demographics
NPI:1588220198
Name:HARTSHORN, REED BENJAMIN (DC)
Entity Type:Individual
Prefix:DR
First Name:REED
Middle Name:BENJAMIN
Last Name:HARTSHORN
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 1:20160 W 153RD ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-9131
Mailing Address - Country:US
Mailing Address - Phone:913-764-2271
Mailing Address - Fax:913-764-2276
Practice Address - Street 1:20160 W 153RD ST
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-9131
Practice Address - Country:US
Practice Address - Phone:913-764-2271
Practice Address - Fax:913-764-2276
Is Sole Proprietor?:No
Enumeration Date:2019-05-20
Last Update Date:2019-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05979111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor