MEDICARE: DR. ETHAN KYLE KOMP 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	01-05675	KS
2	111N00000X	Chiropractor	2016010041	MO

General Provider Information

NPI Number	:	1689063265
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ETHAN KYLE KOMP D.C.

Provider Business Mailing Address
First Line	:	8139 RENNER RD APT 3
Second Line	:
City	:	LENEXA
State	:	KS
Zip	:	66219-8009
Country	:	US
Telephone Number	:	785-760-5503
Fax Number	:

Provider Business Practice Location Address
First Line	:	2310 HOLMES ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64108-2602
Country	:	US
Telephone Number	:	816-404-6489
Fax Number	:

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

Provider Enumeration Date	:	01/20/2015
Last Update Date	:	04/04/2016

Similar Medicare Providers

1891896627 — DR. BELA SATIJA M.D.
Practice Location Address:

2310 HOLMES ST , STE 800
KANSAS CITY, MO
64108-2602

Practice Phone: 816-218-2500
Practice Fax:

1255393310 — SHAUNA RAE ROBERTS MD
Practice Location Address:

2310 HOLMES ST , SUITE 800
KANSAS CITY, MO
64108-2602

Practice Phone: 816-218-2500
Practice Fax:

1437188000 — SHESHADRI MADHUSUDHANA M.D
Practice Location Address:

2310 HOLMES ST , STE 500
KANSAS CITY, MO
64108-2602

Practice Phone: 816-404-4375
Practice Fax: 816-404-4337

1942456058 — DR. ANUJ SHRESTHA M.D.
Practice Location Address:

2310 HOLMES ST STE 500
KANSAS CITY, MO
64108-2602

Practice Phone: 816-404-4375
Practice Fax: 816-404-4337

1891935128 — DR. JEREMY MICHAEL BULLIMORE DC
Practice Location Address:

2310 HOLMES ST , SUITE 704
KANSAS CITY, MO
64108-2602

Practice Phone: 816-404-6489
Practice Fax: 816-404-6494

1962026542 — BENJAMINE AUSTIN WELCH DDS
Practice Location Address:

2310 HOLMES ST
KANSAS CITY, MO
64108-2602

Practice Phone: 816-404-2222
Practice Fax:

Directions to “ DR. ETHAN KYLE KOMP D.C.” 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.