Advanced Sports And Family Chiropractic, Llc | |
12643 Metcalf Ave, Overland Park, KS 66213-1317 | |
(913) 643-1771 | |
(913) 643-1775 |
Full Name | Advanced Sports And Family Chiropractic, Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 12643 Metcalf Ave, Overland Park, Kansas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376710293 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 0105014 (Kansas) | Primary |
Provider Name | Jason C Walrod |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1609960855 PECOS PAC ID: 7315983830 Enrollment ID: I20050706000340 |
Provider Name | Bradley M Woodle |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1750307120 PECOS PAC ID: 6103831383 Enrollment ID: I20060208000801 |
Provider Name | Colton J Bartels |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1821266305 PECOS PAC ID: 1759450315 Enrollment ID: I20080522000022 |
Provider Name | Jacob J Fanders |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1982904140 PECOS PAC ID: 4587850938 Enrollment ID: I20101124000160 |
Provider Name | Daniel Joseph Sallee |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1487958807 PECOS PAC ID: 8921283722 Enrollment ID: I20140731001854 |
Provider Name | Bradley J Peerbolte |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1033198007 PECOS PAC ID: 4385748425 Enrollment ID: I20180418001465 |
Provider Name | Aleesa A Harris |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1306325204 PECOS PAC ID: 9638429327 Enrollment ID: I20180829003736 |
Provider Name | Drew A Woodle |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1730662065 PECOS PAC ID: 6800148958 Enrollment ID: I20181017003494 |
Provider Name | Brandon D Wiese |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1821641101 PECOS PAC ID: 1658601471 Enrollment ID: I20190920002766 |
Provider Name | Alek Santo |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1467107342 PECOS PAC ID: 9537554688 Enrollment ID: I20220328001314 |
Provider Name | Jacqueline Jimenez |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1144980319 PECOS PAC ID: 3678960879 Enrollment ID: I20221109002044 |
Mailing Address | Practice Location Address |
---|---|
Advanced Sports And Family Chiropractic, Llc 12643 Metcalf Ave, Overland Park, KS 66213-1317 Ph: (913) 643-1771 | Advanced Sports And Family Chiropractic, Llc 12643 Metcalf Ave, Overland Park, KS 66213-1317 Ph: (913) 643-1771 |
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