Healthcare Provider Details

I. General information

NPI: 1568328813
Provider Name (Legal Business Name): KAIDEN CONNER ROBINSON D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/30/2025
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2954 HIGHWAY K
O FALLON MO
63368-7861
US

IV. Provider business mailing address

2626 WESTHILLS PARK DR UNIT 2318
ELLISVILLE MO
63011-4764
US

V. Phone/Fax

Practice location:
  • Phone: 636-306-2244
  • Fax:
Mailing address:
  • Phone: 303-218-8227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2025053710
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: