Healthcare Provider Details

I. General information

NPI: 1992915300
Provider Name (Legal Business Name): KANSAS CITY SPINAL CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4210 RAINBOW BLVD
KANSAS CITY KS
66103-3113
US

IV. Provider business mailing address

4021 N ANDREWS AVE STE 6
FT LAUDERDALE FL
33309-5297
US

V. Phone/Fax

Practice location:
  • Phone: 913-789-9929
  • Fax:
Mailing address:
  • Phone: 954-396-3908
  • Fax: 954-630-3359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number00640
License Number StateKS

VIII. Authorized Official

Name: DR. STEPHEN L PRICE
Title or Position: PRESIDENT OWNER
Credential: D.C.
Phone: 954-396-3908