MEDICARE: KATIE ELIZABETH CALHOON

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	111NX0800X	Orthopedic Chiropractor	2025047182	MO

General Provider Information

NPI Number	:	1962347799
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATIE ELIZABETH CALHOON

Provider Business Mailing Address
First Line	:	304 W PICARDY ST
Second Line	:
City	:	REPUBLIC
State	:	MO
Zip	:	65738-7867
Country	:	US
Telephone Number	:	229-223-6016
Fax Number	:

Provider Business Practice Location Address
First Line	:	3422 S GLENSTONE AVE
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65804-4412
Country	:	US
Telephone Number	:	417-216-6079
Fax Number	:

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

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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Directions to “ KATIE ELIZABETH CALHOON ” Practice Location

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