Healthcare Provider Details
I. General information
NPI: 1285692186
Provider Name (Legal Business Name): KRISTINE MICHELE STROUF D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 05/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8140 N. BRIGHTON AVE. SUITE B
KANSAS CITY MO
64119
US
IV. Provider business mailing address
8140 N. BRIGHTON AVE. SUITE B
KANSAS CITY MO
64119
US
V. Phone/Fax
- Phone: 816-436-7500
- Fax:
- Phone: 816-436-7500
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 2005022241 |
| License Number State | MO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: