Provider Demographics
NPI:1760711881
Name:CHANEY, AMANDA (NMD)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:
Last Name:CHANEY
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8155
Mailing Address - Street 2:
Mailing Address - City:PRAIRIE VILLAGE
Mailing Address - State:KS
Mailing Address - Zip Code:66208-0155
Mailing Address - Country:US
Mailing Address - Phone:816-588-2220
Mailing Address - Fax:816-268-4599
Practice Address - Street 1:2000 W 47TH PL
Practice Address - Street 2:
Practice Address - City:WESTWOOD
Practice Address - State:KS
Practice Address - Zip Code:66205-1803
Practice Address - Country:US
Practice Address - Phone:816-588-2220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-19
Last Update Date:2009-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS21-00014175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath