Provider Demographics
NPI:1932276482
Name:DOPPS, LUKE B (DC)
Entity Type:Individual
Prefix:
First Name:LUKE
Middle Name:B
Last Name:DOPPS
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 1:4746 S BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67216-1738
Mailing Address - Country:US
Mailing Address - Phone:316-522-2141
Mailing Address - Fax:316-529-1235
Practice Address - Street 1:4746 S BROADWAY ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67216-1738
Practice Address - Country:US
Practice Address - Phone:316-522-2141
Practice Address - Fax:316-529-1235
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05057111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor