| NPI | 1982337705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACIE A KREADY Office Manage 913-322-0251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NP0017X Chiropractor, Pediatric Chiropractor |
| Enumeration Date | 2022-07-08 |
| Last Update Date | 2022-07-08 |