Provider Demographics
NPI:1457338840
Name:KABLER, MELISSA A (DC)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:A
Last Name:KABLER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2434 N WOODLAWN BLVD
Mailing Address - Street 2:STE 170
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67220-3959
Mailing Address - Country:US
Mailing Address - Phone:316-683-5490
Mailing Address - Fax:316-683-0630
Practice Address - Street 1:2434 N WOODLAWN ST
Practice Address - Street 2:SUITE 170
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67220-3959
Practice Address - Country:US
Practice Address - Phone:316-683-5490
Practice Address - Fax:316-683-0630
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-27
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-04130111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS060102OtherBLUE CROSS BLUE SHIELD
KS060102OtherBLUE CROSS BLUE SHIELD