Whalio Doctors

NPI 1912187006

Jeremy Lyn Goodrum, DC

Practitioner Chiropractor Wellington, KS

Practice location

Address
306 W 8th St, Wellington, KS 67152-3923
Phone
(620) 326-3611
Fax
(620) 326-6939

Registered specialties (2)

Chiropractor Primary
Chiropractic Providers Taxonomy 111N00000X Licence 01-05164 (KS)
Chiropractor
Chiropractic Providers Taxonomy 111N00000X Licence T-01655 (KS)

Registry record

NPI
1912187006
Entity type
Individual
Sex (as registered)
Male
NPI issued
6 Nov 2007
Record last updated
21 Jan 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.