Provider Demographics
NPI:1356144737
Name:GOWIN, DYLAN MICHAEL (DC)
Entity type:Individual
Prefix:
First Name:DYLAN
Middle Name:MICHAEL
Last Name:GOWIN
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 1:13025 S MUR LEN RD STE 100
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-5440
Mailing Address - Country:US
Mailing Address - Phone:913-829-5111
Mailing Address - Fax:913-829-5179
Practice Address - Street 1:13025 S MUR LEN RD STE 100
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-5440
Practice Address - Country:US
Practice Address - Phone:913-829-5111
Practice Address - Fax:913-829-5179
Is Sole Proprietor?:No
Enumeration Date:2025-03-31
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2025006262111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor