MEDICARE: MR. JEFFREY SCOTT DRISKELL 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	005093	MO

General Provider Information

NPI Number	:	1902905227
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JEFFREY SCOTT DRISKELL DC

Provider Business Mailing Address
First Line	:	3721 NORTH OAK TRAFFICWAY
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64116
Country	:	US
Telephone Number	:	816-453-8130
Fax Number	:	816-452-2951

Provider Business Practice Location Address
First Line	:	3721 NORTH OAK TRAFFICWAY
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64116
Country	:	US
Telephone Number	:	816-453-8130
Fax Number	:	816-452-2951

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

Provider Enumeration Date	:	09/22/2006
Last Update Date	:	07/08/2007

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