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NPI Code Detail

MEDICARE: INNATE FAMILY CHIROPRACTIC INC.

MEDICARE: INNATE FAMILY CHIROPRACTIC INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor2007015880MO

General Provider Information

NPI Number : 1245420298
Entity Type Code : Organization
Provider Name (Legal Business Name) : INNATE FAMILY CHIROPRACTIC INC.
Provider Business Mailing Address
First Line : 4020 BALTIMORE AVE
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-2257
Country : US
Telephone Number : 816-561-1500
Fax Number : 816-561-1586
Provider Business Practice Location Address
First Line : 4020 BALTIMORE AVE
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-2257
Country : US
Telephone Number : 816-561-1500
Fax Number : 816-561-1586
Authorized Official
Title or Position : OWNER/CHIROPRACTOR
Name : DR. MINDY M BROWN
Credential : D.C.
Telephone Number : 816-561-1500
Provider Enumeration Date : 07/26/2007
Last Update Date : 12/03/2009

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Directions to “INNATE FAMILY CHIROPRACTIC INC. ” Practice Location

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