Healthcare Provider Details

I. General information

NPI: 1902763733
Provider Name (Legal Business Name): LACEY HAMM DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17027 BEL RAY BLVD
BELTON MO
64012-5371
US

IV. Provider business mailing address

13223 PENNYCROSS RD
LENEXA KS
66215-1343
US

V. Phone/Fax

Practice location:
  • Phone: 816-425-7015
  • Fax:
Mailing address:
  • Phone: 580-279-7883
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2026000408
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: