MEDICARE: KAYLEE GRISSOM DC

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	2026000429	MO

General Provider Information

NPI Number	:	1841159506
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLEE GRISSOM DC

Provider Business Mailing Address
First Line	:	516 N FOXRIDGE DR
Second Line	:
City	:	RAYMORE
State	:	MO
Zip	:	64083-8263
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	114 CONGRESS ST
Second Line	:
City	:	BELTON
State	:	MO
Zip	:	64012-2400
Country	:	US
Telephone Number	:	816-331-8900
Fax Number	:

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

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

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Directions to “ KAYLEE GRISSOM DC” Practice Location

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