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General NPI Number Information
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NPI Number | 1942904867
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Entity Type | Organization
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Legal Business Name | NEW LEAF CHIROPRACTIC LLC
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Dates
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Enumeration Date | 03/27/2023
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Last Update Date | 03/27/2023
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Provider Practice Location Address
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Address Line | 3801 W 6TH ST
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City | LAWRENCE
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State | KS
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Zip | 66049-3252
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Country | US
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Telephone | 785-865-8865
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Fax |
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Provider Business Mailing Address
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Address Line | 5440 CEDAR ST
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City | ROELAND PARK
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State | KS
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Zip | 66205-2219
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Country | US
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Telephone | 785-224-1464
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KAILEE LOGAN
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Credential | D.C
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Telephone | 785-224-1464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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