Provider Demographics
NPI:1740660927
Name:MORTON, DEVIN (DC)
Entity type:Individual
Prefix:
First Name:DEVIN
Middle Name:
Last Name:MORTON
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 1:784 N RIDGEVIEW RD
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-2900
Mailing Address - Country:US
Mailing Address - Phone:913-815-8076
Mailing Address - Fax:913-490-3983
Practice Address - Street 1:784 N RIDGEVIEW RD
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-2900
Practice Address - Country:US
Practice Address - Phone:913-815-8076
Practice Address - Fax:913-490-3983
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-03
Last Update Date:2017-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05721111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor