Provider Demographics
NPI:1609977032
Name:STROMBERG, DAGNEY LYNN (DC)
Entity Type:Individual
Prefix:DR
First Name:DAGNEY
Middle Name:LYNN
Last Name:STROMBERG
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:DAGNEY
Other - Middle Name:LYNN
Other - Last Name:MOORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:100 N SANTA FE AVE
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-2616
Mailing Address - Country:US
Mailing Address - Phone:785-404-6960
Mailing Address - Fax:785-404-6961
Practice Address - Street 1:100 N SANTA FE AVE
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-2616
Practice Address - Country:US
Practice Address - Phone:785-404-6960
Practice Address - Fax:785-404-6961
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-04572111N00000X, 111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS0000062314OtherBCBS KANSAS
KS9191436OtherPHCS
KS658504OtherACN
KS2123928OtherFIRST HEALTH
KS9191436OtherPHCS