More Life Chiropractic Llc | |
5563 Nw Barry Rd, Kansas City, MO 64154-1408 | |
(816) 710-6673 | |
(816) 710-6673 |
Full Name | More Life Chiropractic Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 5563 Nw Barry Rd, 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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1285306357 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Brenton Deshawn Hicks |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1558033621 PECOS PAC ID: 0345648846 Enrollment ID: I20211015002719 |
Mailing Address | Practice Location Address |
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More Life Chiropractic Llc 5563 Nw Barry Rd, Kansas City, MO 64154-1408 Ph: (816) 710-6673 | More Life Chiropractic Llc 5563 Nw Barry Rd, Kansas City, MO 64154-1408 Ph: (816) 710-6673 |
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