Provider Demographics
NPI:1548341878
Name:FAIRCHILD, RAGAN RYCHELLE (DC)
Entity type:Individual
Prefix:DR
First Name:RAGAN
Middle Name:RYCHELLE
Last Name:FAIRCHILD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8817 W 95TH ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-4062
Mailing Address - Country:US
Mailing Address - Phone:913-642-1400
Mailing Address - Fax:913-642-1554
Practice Address - Street 1:8817 W 95TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-4062
Practice Address - Country:US
Practice Address - Phone:913-642-1400
Practice Address - Fax:913-642-1554
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0104960111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS0008047Medicare ID - Type Unspecified