Healthcare Provider Details

I. General information

NPI: 1083985170
Provider Name (Legal Business Name): INFINITY CHIROPRACTIC AND ACUPUNCTURE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2012
Last Update Date: 09/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8140 N BRIGHTON AVE SUITE B
KANSAS CITY MO
64119-1474
US

IV. Provider business mailing address

8140 N BRIGHTON AVE SUITE B
KANSAS CITY MO
64119-1474
US

V. Phone/Fax

Practice location:
  • Phone: 816-436-2208
  • Fax: 816-436-2209
Mailing address:
  • Phone: 816-436-2208
  • Fax: 816-436-2209

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number01-05284
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2010035657
License Number StateMO

VIII. Authorized Official

Name: DR. NICHOLE M.F. HILT
Title or Position: OWNER
Credential: D.C.
Phone: 816-392-2274