MEDICARE: DR. PRESTON KEITH PIERCE 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
1	111N00000X	Chiropractor	T-01087	KS

General Provider Information

NPI Number	:	1528186020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PRESTON KEITH PIERCE D.C.

Provider Business Mailing Address
First Line	:	7940 PARALLEL PKWY STE 3
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66112-2070
Country	:	US
Telephone Number	:	913-299-8090
Fax Number	:	913-299-8064

Provider Business Practice Location Address
First Line	:	7940 PARALLEL PKWY STE 3
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66112-2070
Country	:	US
Telephone Number	:	913-299-8090
Fax Number	:	913-299-8064

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	08/03/2016

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