Healthcare Provider Details

I. General information

NPI: 1841294543
Provider Name (Legal Business Name): STEVEN M ROBKE D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2005
Last Update Date: 10/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5308 E 115TH ST
KANSAS CITY MO
64137-2731
US

IV. Provider business mailing address

12718 S US HIGHWAY 71
GRANDVIEW MO
64030-2522
US

V. Phone/Fax

Practice location:
  • Phone: 816-763-9165
  • Fax: 816-763-9208
Mailing address:
  • Phone: 816-761-1600
  • Fax: 816-965-9955

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number006524
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: