Healthcare Provider Details
I. General information
NPI: 1285773317
Provider Name (Legal Business Name): CARDIN CHIROPRACTIC & ACUPUNCTURE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/05/2007
Last Update Date: 02/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9159 W 133RD ST
OVERLAND PARK KS
66213-4333
US
IV. Provider business mailing address
9159 W 133RD ST
OVERLAND PARK KS
66213-4333
US
V. Phone/Fax
- Phone: 913-239-8501
- Fax: 913-239-8601
- Phone: 913-239-8501
- Fax: 913-239-8601
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NI0900X |
| Taxonomy | Internist Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
RALPH
STEVE
CARDIN
Title or Position: OWNER
Credential: D.C.
Phone: 913-239-8501