| NPI | 1619123197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY LYNNE DUSENBERY CEO/Physician 816-587-3711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 200166716) |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2008-08-15 |