MEDICARE: MRS. KAILEIGH BETH MCLAUGHLIN 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	01-05524	KS

General Provider Information

NPI Number	:	1609115377
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KAILEIGH BETH MCLAUGHLIN D.C.

Provider Business Mailing Address
First Line	:	215 N VINE ST
Second Line	:
City	:	EL DORADO
State	:	KS
Zip	:	67042-2055
Country	:	US
Telephone Number	:	631-632-1227
Fax Number	:	316-321-2225

Provider Business Practice Location Address
First Line	:	215 N VINE ST
Second Line	:
City	:	EL DORADO
State	:	KS
Zip	:	67042-2055
Country	:	US
Telephone Number	:	316-321-2273
Fax Number	:	316-321-2225

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

Provider Enumeration Date	:	01/31/2013
Last Update Date	:	01/31/2013

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