Provider Demographics
NPI:1447520549
Name:ZENNER, WESTON E (DC)
Entity type:Individual
Prefix:
First Name:WESTON
Middle Name:E
Last Name:ZENNER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 E 17TH ST
Mailing Address - Street 2:
Mailing Address - City:OTTAWA
Mailing Address - State:KS
Mailing Address - Zip Code:66067-3800
Mailing Address - Country:US
Mailing Address - Phone:785-242-9393
Mailing Address - Fax:785-242-9394
Practice Address - Street 1:112 E 17TH ST
Practice Address - Street 2:
Practice Address - City:OTTAWA
Practice Address - State:KS
Practice Address - Zip Code:66067-3800
Practice Address - Country:US
Practice Address - Phone:785-242-9393
Practice Address - Fax:785-242-9394
Is Sole Proprietor?:No
Enumeration Date:2012-01-05
Last Update Date:2014-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0105499111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor