Provider Demographics
NPI:1982793873
Name:DOWTY, MILTON E (DC)
Entity Type:Individual
Prefix:DR
First Name:MILTON
Middle Name:E
Last Name:DOWTY
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 1:5205 E. KELLOGG DRIVE
Mailing Address - Street 2:101
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67218-1428
Mailing Address - Country:US
Mailing Address - Phone:316-684-0550
Mailing Address - Fax:
Practice Address - Street 1:5205 E.KELLOGG DRIVE
Practice Address - Street 2:101
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67218-1428
Practice Address - Country:US
Practice Address - Phone:316-684-0550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSO1-03525111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS062579OtherBCBS