| Kade David Kanelakos, DC | |
|
10841 W 87th St Ste 200, Overland Park, KS 66214-1660 | |
| (913) 825-3900 | |
| Not Available |
| Full Name | Kade David Kanelakos |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 10841 W 87th St Ste 200, Overland Park, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720676398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 01-06102 (Kansas) | Primary |
| Provider Name | Oak Grove Chiropractic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1609354844 PECOS PAC ID: 9537527015 Enrollment ID: O20230614003506 |
| Mailing Address | Practice Location Address |
|---|---|
| Kade David Kanelakos, DC 10 Lakeridge Dr, Arkansas City, KS 67005-4304 Ph: (620) 446-0464 | Kade David Kanelakos, DC 10841 W 87th St Ste 200, Overland Park, KS 66214-1660 Ph: (913) 825-3900 |
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