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NPI Code Detail

MEDICARE: DR. THOMAS C DUKE DC

MEDICARE: DR. THOMAS C DUKE DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor003888MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14078019OTHERBLUE CROSS BLUE SHIELD KC
2481155510OTHERHUMANA
310850317OTHERCAQH
45820015OTHERAETNA INSURANCE

General Provider Information

NPI Number : 1225139991
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS C DUKE DC
Provider Business Mailing Address
First Line : 505 NW HIGHCLIFFE DR
Second Line :
City : LEES SUMMIT
State : MO
Zip : 64081
Country : US
Telephone Number : 816-942-9578
Fax Number : 816-942-9589
Provider Business Practice Location Address
First Line : 400 E RED BRIDGE RD
Second Line : SUITE 308
City : KANSAS CITY
State : MO
Zip : 64131-4029
Country : US
Telephone Number : 816-942-9578
Fax Number : 816-942-9589
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2006
Last Update Date : 04/19/2017

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