Healthcare Provider Details

I. General information

NPI: 1215951827
Provider Name (Legal Business Name): SHAREN KAY KAUZLARICH D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 09/06/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

229 SW NOEL ST
LEES SUMMIT MO
64063
US

IV. Provider business mailing address

PO BOX 72
LEES SUMMIT MO
64063
US

V. Phone/Fax

Practice location:
  • Phone: 816-809-3263
  • Fax: 816-524-3263
Mailing address:
  • Phone: 816-809-3263
  • Fax: 816-809-3263

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number006538
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: