Healthcare Provider Details

I. General information

NPI: 1033412713
Provider Name (Legal Business Name): PAHMEYER CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2010
Last Update Date: 12/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 N 169 HWY
TRIMBLE MO
64492-8101
US

IV. Provider business mailing address

204 N 169 HWY
TRIMBLE MO
64492-8101
US

V. Phone/Fax

Practice location:
  • Phone: 816-370-2227
  • Fax: 816-370-2229
Mailing address:
  • Phone: 816-370-2227
  • Fax: 816-370-2229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number2010013901
License Number StateMO

VIII. Authorized Official

Name: DR. KATHLEEN DENISE PAHMEYER
Title or Position: PRESIDENT
Credential: D.C.
Phone: 816-370-2227