Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 01-03821 | KS |
NPI | 1205928389 |
---|---|
Provider Name | Dr. Julia A Flagor |
First Address | Hoisington, KS 67544-2427 |
Second Address | Hoisington, KS 67544-2427 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
023560 | (02) | KS |