Chancellor Wayne (NPI# 1588733471, PAC ID# 4385796481) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1588733471 |
| PAC ID by PECOS | 4385796481 |
| Professional Enrollment ID | I20120116000189 |
| Full Name | Chancellor Wayne |
| Address |
913 Saint Francis St Kennett MO 63857-1779 |
| Gender | M |
| Medical School | LOGAN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 1999 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 913 Saint Francis St, Kennett, MO 63857-1779 |
| Street Address |
913 SAINT FRANCIS ST |
| City | KENNETT |
| State | MO |
| Zip | 63857-1779 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teresa L Brasher | Clinical Social Worker | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Susan G Helms | Clinical Social Worker | Family Counseling Center Inc | Bldg 925 Hwy Vv, Kennett, MO 63857-0071 |
| Brenda J Gray | Clinical Social Worker | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Clea M Fairaizl | Clinical Social Worker | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Larina J Ditto | Clinical Social Worker | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Carlos A. Salgueiro | Psychiatry | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Stephanie A Flynn | Clinical Social Worker | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Susan Brooks Hanks | Clinical Social Worker | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Karl E. Shanstrom | Family Medicine | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Ravdeep S Khanuja | Psychiatry | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Find all physicians in zip 63857 | |||
| City | KENNETT |
| Zip Code | 63857 |
| Specialty | CHIROPRACTIC |
| City + Specialty | KENNETT + CHIROPRACTIC |
Please comment or provide details below to improve the information on Chancellor Wayne.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.