| NPI | 1053515957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CHRISTINE KANE Member/Manager 314-496-8044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2001011188) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2016-09-16 |