MEDICARE: DR. RYAN HAROLD HOLMES D.C.

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	2004008727	MO

General Provider Information

NPI Number	:	1306966650
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RYAN HAROLD HOLMES D.C.

Provider Business Mailing Address
First Line	:	3007 N BELT HWY STE I
Second Line	:
City	:	SAINT JOSEPH
State	:	MO
Zip	:	64506-1557
Country	:	US
Telephone Number	:	816-232-8377
Fax Number	:	816-279-0302

Provider Business Practice Location Address
First Line	:	3007 N BELT HWY STE I
Second Line	:
City	:	SAINT JOSEPH
State	:	MO
Zip	:	64506-1557
Country	:	US
Telephone Number	:	816-232-8377
Fax Number	:	816-279-0302

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

Provider Enumeration Date	:	03/30/2007
Last Update Date	:	05/09/2024

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