MEDICARE: CHRIS M MCCLENNEY 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
1	111N00000X	Chiropractor	2003011573	MO

General Provider Information

NPI Number	:	1275570780
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRIS M MCCLENNEY DC

Provider Business Mailing Address
First Line	:	305 NW ENGLEWOOD CT
Second Line	:	SUITE: 200
City	:	GLADSTONE
State	:	MO
Zip	:	64118-4072
Country	:	US
Telephone Number	:	816-454-5433
Fax Number	:	816-454-8455

Provider Business Practice Location Address
First Line	:	305 NW ENGLEWOOD CT
Second Line	:	SUITE: 200
City	:	GLADSTONE
State	:	MO
Zip	:	64118-4072
Country	:	US
Telephone Number	:	816-454-5433
Fax Number	:	816-454-8455

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	02/20/2008

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Directions to “ CHRIS M MCCLENNEY DC” Practice Location

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