Healthcare Provider Details

I. General information

NPI: 1407769631
Provider Name (Legal Business Name): HAILEY D CROWDER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8643 HAUSER ST STE 240
LENEXA KS
66215-4543
US

IV. Provider business mailing address

11700 E 58TH TER
KANSAS CITY MO
64133-3536
US

V. Phone/Fax

Practice location:
  • Phone: 913-353-6655
  • Fax: 913-600-5577
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number01-06511
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: