Provider Demographics
NPI:1336854967
Name:O'NEILL, ROBERT EMMETT (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:EMMETT
Last Name:O'NEILL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:BOBBY
Other - Middle Name:
Other - Last Name:O'NEILL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:15140 S KEELER ST STE A
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-2761
Mailing Address - Country:US
Mailing Address - Phone:913-333-7550
Mailing Address - Fax:
Practice Address - Street 1:15140 S KEELER ST STE A
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-2761
Practice Address - Country:US
Practice Address - Phone:913-333-7550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-18
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-06238111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor