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NPI Code Detail

MEDICARE: DR. THOMAS PATRICK O'REILLY JR. D.C.

MEDICARE: DR. THOMAS PATRICK O'REILLY JR. D.C.
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
1111N00000XChiropractor006762MO
2111N00000XChiropractor01-05303KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11306070313OTHERNPI

General Provider Information

NPI Number : 1306070313
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS PATRICK O'REILLY JR. D.C.
Provider Business Mailing Address
First Line : 1414 NW VIVION RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64118-4555
Country : US
Telephone Number : 816-746-8300
Fax Number : 816-746-7958
Provider Business Practice Location Address
First Line : 1414 NW VIVION RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64118-4555
Country : US
Telephone Number : 816-746-8300
Fax Number : 816-746-7958
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2009
Last Update Date : 07/29/2015

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