Jesse D Walden in Shawnee - Sports Physician

Jesse D Walden - NPI 1578719340

Jesse D Walden is a Sports Physician in Shawnee, Kansas. Jesse D Walden practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Jesse D Walden is 1578719340. The last update date is 2008-08-13.

Jesse D Walden's current location address is 11652 W. 75 St., Shawnee, Kansas. You can contact this provider via phone number 9138251235. The mailing address for Jesse D Walden is 11652 W. 75 St., Shawnee, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Jesse D Walden
Address 11652 W. 75 St., Shawnee, Kansas
Phone Number 9138251235
Fax Number
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1578719340
Provider Enumeration Date 2008-08-13
Last Updated Date 2008-08-13

Provider Mailing Address Detail

Address 11652 W. 75 St.
City Shawnee
State Kansas (KS)
Post Code 66214
Phone Number 9138251235
Fax Number

Provider's Primary Taxonomy Detail

Speciality Sports Physician
Taxonomy 111Ns0005X
Licence No 01-05054
Definition:
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP)

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FAQs about Jesse D Walden

What is the unique 10-digit identification code assigned to Jesse D Walden by the Centers for Medicare & Medicaid Services?

The Jesse D Walden has been issued the NPI (National Provider Identifier) 1578719340, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Jesse D Walden is geographically located?

The Jesse D Walden is physically situated at the following location: 11652 W. 75 St., Shawnee, KS, 66214.

What is Jesse D Walden's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jesse D Walden is Sports Physician, and the taxonomy classification code that categorizes this area of expertise is 111Ns0005X.

When was the Jesse D Walden's 1578719340 issued?

The Jesse D Walden's 1578719340 was issued on 2008-08-13.

When was the information related to Jesse D Walden most recently updated or refreshed?

The details pertaining to the Jesse D Walden, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-08-13.

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