Healthcare Provider Details

I. General information

NPI: 1831005305
Provider Name (Legal Business Name): AMBERSTONE CHIROPRACTIC AND WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

506 N MAGUIRE ST APT A
WARRENSBURG MO
64093-1400
US

IV. Provider business mailing address

506 N MAGUIRE ST APT A
WARRENSBURG MO
64093-1400
US

V. Phone/Fax

Practice location:
  • Phone: 660-454-0880
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: KANE MARTIN
Title or Position: MANAGING MEMBER
Credential: DC
Phone: 660-454-0880