Provider Demographics
NPI:1598832388
Name:MERRITT, CASEY L (DC)
Entity Type:Individual
Prefix:DR
First Name:CASEY
Middle Name:L
Last Name:MERRITT
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 1:8825 LONG ST
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66215-3586
Mailing Address - Country:US
Mailing Address - Phone:913-888-6262
Mailing Address - Fax:913-888-6261
Practice Address - Street 1:8825 LONG ST
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215-3586
Practice Address - Country:US
Practice Address - Phone:913-888-6262
Practice Address - Fax:913-888-6262
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-04817111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSN820000Medicare ID - Type UnspecifiedGROUP NUMBER
KSU94679Medicare UPIN
KSN82C232Medicare ID - Type UnspecifiedINDIVIDUAL PROVIDER NUMBE