Healthcare Provider Details

I. General information

NPI: 1427886936
Provider Name (Legal Business Name): CORRECTIVE CARE KC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2024
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13010 WHITE AVE STE G
GRANDVIEW MO
64030-2669
US

IV. Provider business mailing address

13010 WHITE AVE STE G
GRANDVIEW MO
64030-2669
US

V. Phone/Fax

Practice location:
  • Phone: 816-765-5553
  • Fax:
Mailing address:
  • Phone: 816-765-5553
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: KARRI BAUMANN
Title or Position: OWNER
Credential: DC
Phone: 816-765-5553