| NPI | 1174490510 |
|---|---|
| Doing Business As | KC ADVANCED HEALING |
| Entity Type | Organization |
| Authorized Contact | SHAWN A LILLIG Medical Director 833-381-6736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2025-10-21 |
| Last Update Date | 2025-12-05 |