| Gulledge Family Wellness Pa | |
|
11879 W 112th St, Suite 100, Overland Park, KS 66210-2725 | |
| (913) 338-1112 | |
| (913) 338-2079 |
| Full Name | Gulledge Family Wellness Pa |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 11879 W 112th St, Overland Park, Kansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205165958 | NPI | - | NPPES |
| 1275676371 | Other | KS | TYPE I NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 01-05085 (Kansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gulledge Family Wellness Pa 11879 W 112th St, Suite 100, Overland Park, KS 66210-2725 Ph: (913) 338-1112 | Gulledge Family Wellness Pa 11879 W 112th St, Suite 100, Overland Park, KS 66210-2725 Ph: (913) 338-1112 |
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