Provider Demographics
NPI:1891032249
Name:PENROD-FILBY, AMY E (DC)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:E
Last Name:PENROD-FILBY
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 1:305 FORT RILEY BLVD
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-6357
Mailing Address - Country:US
Mailing Address - Phone:785-587-0300
Mailing Address - Fax:785-587-0577
Practice Address - Street 1:305 FORT RILEY BLVD
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-6357
Practice Address - Country:US
Practice Address - Phone:785-587-0300
Practice Address - Fax:785-587-0577
Is Sole Proprietor?:No
Enumeration Date:2013-01-04
Last Update Date:2015-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05361111N00000X
MO2010038955111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSKA1976002Medicare UPIN