Provider Demographics
NPI:1336249143
Name:FARNEY, TODD VINCENT (DC)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:VINCENT
Last Name:FARNEY
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 1:10312 W MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67209-3135
Mailing Address - Country:US
Mailing Address - Phone:316-773-3178
Mailing Address - Fax:316-722-6700
Practice Address - Street 1:10312 W MAPLE ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67209-3135
Practice Address - Country:US
Practice Address - Phone:316-722-6700
Practice Address - Fax:316-722-6189
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2013-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-04099111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS60937OtherBCBS PROVIDER NUMBER
KSU37362Medicare UPIN
KS60937Medicare ID - Type Unspecified