Kc Core | |
12200 W 106th St, Suite 245, Overland Park, KS 66215-2305 | |
(913) 258-2673 | |
(913) 258-2673 |
Full Name | Kc Core |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 12200 W 106th St, 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 |
---|---|---|---|
1568850071 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2013032514 (Missouri) | Primary |
Provider Name | Lindsay N Gallion |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1699100685 PECOS PAC ID: 6800115031 Enrollment ID: I20150508002157 |
Provider Name | Dexton Anthony Gould |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1902207715 PECOS PAC ID: 9830411362 Enrollment ID: I20160118000919 |
Provider Name | Alissa R Gould |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1245795137 PECOS PAC ID: 4082952817 Enrollment ID: I20190220001993 |
Mailing Address | Practice Location Address |
---|---|
Kc Core 12200 W 106th St, Suite 245, Overland Park, KS 66215-2305 Ph: (913) 258-2673 | Kc Core 12200 W 106th St, Suite 245, Overland Park, KS 66215-2305 Ph: (913) 258-2673 |
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