MEDICARE: DR. CHELSEA DOLAN 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	01-06044	KS
2	111N00000X	Chiropractor	2020016631	MO

General Provider Information

NPI Number	:	1922620004
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHELSEA DOLAN DC

Provider Business Mailing Address
First Line	:	6505 N PROSPECT AVE STE 700
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64119-1570
Country	:	US
Telephone Number	:	785-531-1851
Fax Number	:

Provider Business Practice Location Address
First Line	:	6505 N PROSPECT AVE STE 700
Second Line	:
City	:	GLADSTONE
State	:	MO
Zip	:	64119-1570
Country	:	US
Telephone Number	:	785-531-1851
Fax Number	:

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

Provider Enumeration Date	:	05/12/2020
Last Update Date	:	12/28/2023

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