KC SPINE, LLC

OLATHE, KS
NPI1184100034
Former Legal Business NameCLEAR WAVE CHIROPRACTIC
Doing Business AsKC SPINE
Entity TypeOrganization
Authorized ContactCAMEON M BLAKE
Owner / Chiropractor
913-475-5193
Organization Subpart ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: KS  01-05902)
Enumeration Date2018-07-13
Last Update Date2019-03-19
Business Address
KC SPINE, LLC
1707 E CEDAR ST STE 108
OLATHE, KS 66062-1886
Phone number: 913-318-3003
Mailing Address
KC SPINE, LLC
12482 SLATER LN
OVERLAND PARK, KS 66213-1773
Phone number: 913-475-5193