NPI | 1184100034 |
---|---|
Former Legal Business Name | CLEAR WAVE CHIROPRACTIC |
Doing Business As | KC SPINE |
Entity Type | Organization |
Authorized Contact | CAMEON M BLAKE Owner / Chiropractor 913-475-5193 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: KS 01-05902) |
Enumeration Date | 2018-07-13 |
Last Update Date | 2019-03-19 |