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NPI Code Detail

MEDICARE: SPENCER CHIROPRACTIC CLINIC, P.C.

MEDICARE: SPENCER CHIROPRACTIC CLINIC, P.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
1111N00000XChiropractor

General Provider Information

NPI Number : 1720245327
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPENCER CHIROPRACTIC CLINIC, P.C.
Provider Business Mailing Address
First Line : 1414 NW VIVION RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64118-4555
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1414 NW VIVION RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64118-4555
Country : US
Telephone Number : 816-746-8300
Fax Number :
Authorized Official
Title or Position : OFFICE MANAGER
Name : JEN CRAIGIE
Credential :
Telephone Number : 816-746-8300
Provider Enumeration Date : 05/21/2008
Last Update Date : 05/21/2008

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Directions to “SPENCER CHIROPRACTIC CLINIC, P.C. ” Practice Location

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