Healthcare Provider Details

I. General information

NPI: 1659202471
Provider Name (Legal Business Name): SPINECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10501 METCALF AVE
OVERLAND PARK KS
66212-1815
US

IV. Provider business mailing address

10501 METCALF AVE
OVERLAND PARK KS
66212-1815
US

V. Phone/Fax

Practice location:
  • Phone: 316-734-8611
  • Fax:
Mailing address:
  • Phone: 316-734-8611
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DANIKA HAFKER
Title or Position: MANAGER
Credential:
Phone: 316-734-8611