Provider Demographics
NPI:1952444267
Name:ARMSTRONG, JASON LYNN (DC)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:LYNN
Last Name:ARMSTRONG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2290 N TYLER RD
Mailing Address - Street 2:STE 100
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67205-8759
Mailing Address - Country:US
Mailing Address - Phone:316-721-0011
Mailing Address - Fax:
Practice Address - Street 1:2290 N TYLER RD
Practice Address - Street 2:STE 100
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67205-8759
Practice Address - Country:US
Practice Address - Phone:316-721-0011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0105078111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor