Jose Luis Delgado, DC

Individual provider Active NPI Chiropractor · Andover, KS

NPI 1275249682 · NPPES record last updated Jan 30, 2023

Key facts

NPI
1275249682
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
01-06242 (KS)
Practice address
105 S Andover Rd Ste E
Andover, KS 67002-7926
Phone
(316) 733-9555
NPI assigned
Jan 30, 2023
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-06242 KS Yes

Addresses

Primary practice location

105 S Andover Rd Ste E
Andover, KS 67002-7926

Mailing address

1125 E Waters Edge CT
Derby, KS 67037-4037
Phone (316) 300-5505

Other providers in Andover, KS

All providers in Andover, KS · Chiropractor in Kansas

Sources for this page

Verify at the official NPI Registry.