Fountain Of Life Family Chiropractic, Inc. | |
8335 N Congress Ave, Kansas City, MO 64152-2041 | |
(816) 741-4711 | |
(816) 741-0119 |
Full Name | Fountain Of Life Family Chiropractic, Inc. |
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Type | Facility |
Speciality | Chiropractor |
Location | 8335 N Congress Ave, Kansas City, Missouri |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1912020033 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Joseph M Knudson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1194847210 PECOS PAC ID: 1456249655 Enrollment ID: I20070807000621 |
Mailing Address | Practice Location Address |
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Fountain Of Life Family Chiropractic, Inc. 8335 N Congress Ave, Kansas City, MO 64152-2041 Ph: (816) 741-4711 | Fountain Of Life Family Chiropractic, Inc. 8335 N Congress Ave, Kansas City, MO 64152-2041 Ph: (816) 741-4711 |
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