Provider Demographics
NPI:1932302445
Name:LINDSLEY KINESIOLOGY CLINIC
Entity Type:Organization
Organization Name:LINDSLEY KINESIOLOGY CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:LINDSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:316-200-0376
Mailing Address - Street 1:5205 E. KELLOGG DR.
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67218-1634
Mailing Address - Country:US
Mailing Address - Phone:316-684-0550
Mailing Address - Fax:316-684-6597
Practice Address - Street 1:5205 E. KELLOGG DR.
Practice Address - Street 2:SUITE 101
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67218-1634
Practice Address - Country:US
Practice Address - Phone:316-684-0550
Practice Address - Fax:316-684-6597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-4973111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty