MEDICARE: MRS. KENDRA LYNN PEARSON 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	2004022004	MO
2	171100000X	Acupuncturist	2004022004	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	34722021	OTHER	MO	BCBS

General Provider Information

NPI Number	:	1578503702
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KENDRA LYNN PEARSON DC

Provider Business Mailing Address
First Line	:	5601 NE ANTIOCH RD
Second Line	:	SUITE 8
City	:	GLADSTONE
State	:	MO
Zip	:	64119-2302
Country	:	US
Telephone Number	:	816-452-4488
Fax Number	:	816-452-4491

Provider Business Practice Location Address
First Line	:	5601 NE ANTIOCH RD
Second Line	:	SUITE 8
City	:	GLADSTONE
State	:	MO
Zip	:	64119-2302
Country	:	US
Telephone Number	:	816-452-4488
Fax Number	:	816-452-4491

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

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	02/25/2009

Similar Medicare Providers

1841290624 — MR. THOMAS NATHAN SEXTON DPM
Practice Location Address:

5601 NE ANTIOCH RD , STE 7
GLADSTONE, MO
64119-2302

Practice Phone: 816-455-1155
Practice Fax: 816-455-1161

1396817441 — DR. BILLY RONALD ROMMEL DDS
Practice Location Address:

5601 NE ANTIOCH RD , STE 5
GLADSTONE, MO
64119-2302

Practice Phone: 816-455-1200
Practice Fax: 816-455-1021

1972785558 — COMPREHENSIVE FOOT CENTERS
Practice Location Address:

5601 NE ANTIOCH RD , SUITE 7
GLADSTONE, MO
64119-2302

Practice Phone: 816-455-1155
Practice Fax: 816-455-1161

1639193758 — DR. ROBERT T. SAMUEL O.D.
Practice Location Address:

5601 NE ANTIOCH RD
KANSAS CITY, MO
64119-2302

Practice Phone: 816-453-7044
Practice Fax: 913-677-2477

1265380968 — POTENS WELLNESS CLINIC LLC
Practice Location Address:

2800 NE KENDALLWOOD PKWY STE 3
GLADSTONE, MO
64119-2026

Practice Phone: 816-396-7397
Practice Fax: 816-207-0735

1417626516 — MATTHEW VANDENDAELE PT, DPT
Practice Location Address:

6403 N PROSPECT AVE STE 450
GLADSTONE, MO
64119-1545

Practice Phone: 816-656-3698
Practice Fax: 816-368-9488

Directions to “ MRS. KENDRA LYNN PEARSON DC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.