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General NPI Number Information
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NPI Number | 1205915782
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Entity Type | Organization
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Legal Business Name | ALTERNATIVE HEALTHCARE OF MISSOURI, INC.
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 71 SORRENTO DRIVE UNIT 1
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City | CAMDENTON
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State | MO
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Zip | 65020
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Country | US
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Telephone | 573-873-9800
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Fax | 573-873-9800
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Provider Business Mailing Address
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Address Line | 71 SORRENTO DRIVE UNIT 1
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City | CAMDENTON
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State | MO
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Zip | 65020
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Country | US
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Telephone | 573-873-9800
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Fax | 573-873-9800
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. JAMES A. KINNARD
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Credential |
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Telephone | 573-873-9800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 890
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 005258
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License Number State | MO
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