DR. DERRICK W. KIMBALL (NPI# 1215978093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215978093 |
Entity Type | Individual |
Full Name | DR. DERRICK W. KIMBALL |
Credential | D.C. |
Practice Address |
127 N Chautauqua St Sedan KS 67361-1301 |
Practice Telephone | 6207255700 |
Practice Fax Number | 6207255700 |
Mailing Telephone | 6207255700 |
Mailing Fax Number | 6207255700 |
Enumeration Date | 2006-06-10 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 0104971 | KS | Chiropractic Providers |
Street Address |
127 N CHAUTAUQUA ST |
City | SEDAN |
State | KS |
Zip Code | 67361-1301 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740351493 | Sedan City Hospital | General Acute Care Hospital | 300 North Street, Sedan, KS 67361-1051 | 2006-11-13 |
1033114277 | Sedan City Hospital | General Acute Care Hospital | 300 W North St, Sedan, KS 67361-1051 | 2005-06-15 |
1215575956 | Mia Danielle Stroble | Nurse Practitioner | 300 W North St, Sedan, KS 67361-1051 | 2019-12-12 |
1194388843 | Katelyn Osborn | Speech-Language Pathologist | 300 W North St, Sedan, KS 67361-1051 | 2019-04-18 |
1730580887 | Bethany Anne Lear | Dietitian, Registered | 300 W North St, Sedan, KS 67361-1051 | 2014-09-09 |
1043629413 | Wade Matherly | Physician Assistant | 300 W North St, Sedan, KS 67361-1051 | 2014-08-10 |
1376951863 | Levi Lear | Physician Assistant | 300 W North St, Sedan, KS 67361-1051 | 2014-07-28 |
1750725065 | Marie J Strickler | Physical Therapy Assistant | 300 W North St, Sedan, KS 67361-1051 | 2013-04-18 |
1598904633 | Lori Ann Ridder | Physician Assistant | 300 W North St, Sedan, KS 67361-1051 | 2009-02-12 |
1831231315 | Shirley Hanley Black | Nurse Practitioner | 300 W North St, Sedan, KS 67361-1051 | 2007-02-13 |
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Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174686745 | Joan Gail Rajacich | Chiropractor | 311 E Elm St, Sedan, KS 67361-1416 | 2006-12-18 |
1396138848 | Blakemore Chiropractic Pa | Chiropractor | 215 E Main St, Sedan, KS 67361-1628 | 2015-03-09 |
1740447192 | Shannon Simmons | Chiropractor | 121 W Main St, Sedan, KS 67361-1511 | 2008-05-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720689359 | Andrew L Todd | Chiropractor | 6800 W 91st St, Overland Park, KS 66212-1453 | 2020-11-02 |
1386251924 | Beckley Chiropractic, Inc. | Chiropractor | 2348 Sw Topeka Blvd Ste 202, Topeka, KS 66611-1286 | 2020-09-28 |
1073128583 | Jaccard Chiropractic, P.a. | Chiropractor | 4 South 1st Street, #c, Louisburg, KS 66053 | 2020-09-11 |
1336752591 | Johnathan Chase Carlin | Chiropractor | 10985 Cody St Ste 100, Overland Park, KS 66210-1219 | 2020-08-27 |
1104442193 | Breanna Kay Bezona | Chiropractor | 13830 Sante Fe Trail Dr., St. 104, Lenexa, KS 66215 | 2020-06-25 |
1568083129 | Chase Blaha | Chiropractor | 3230 Kimball Ave, Manhattan, KS 66503-2157 | 2020-05-05 |
1538780465 | Joshua Whitmore | Chiropractor | 12101 W 110th St Ste 200, Overland Park, KS 66210-3935 | 2020-05-01 |
1871127985 | Katie Marie Muller | Chiropractor | 9621 W 87th St, Overland Park, KS 66212-4570 | 2020-02-27 |
1265062848 | Kylan Cris Bennett | Chiropractor | 2605 Central Ave, Dodge City, KS 67801-6210 | 2020-01-22 |
1932748282 | Jessica Langel | Chiropractor | 7418 W 121st St, Overland Park, KS 66213-1203 | 2020-01-04 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.