Kodi Nichole Panzer, D.C.
Individual provider Active NPI Chiropractor · Hillsboro, KS
NPI 1073673489 · NPPES record last updated Feb 2, 2016
Key facts
- NPI
- 1073673489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 01-05069 (KS)
- Practice address
- 122 S Main St
Hillsboro, KS 67063-1526 - Phone
- (620) 947-3157
- Fax
- (620) 947-2630
- NPI assigned
- Dec 8, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05069 | KS | MD | Counselor |
| 01-05069 | KS | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas Chiropractic Clinics, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01-05069 | KS | Yes |
Addresses
Primary practice location
122 S Main St
Hillsboro, KS 67063-1526
Mailing address
122 S Main St
Hillsboro, KS 67063-1526
Phone (620) 947-3157
Other names
- Miss Kodi Nichole Charbonneau
Other providers in Hillsboro, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.