Vital Roots Chiropractic Llc | |
14300 Kenneth Rd, Leawood, KS 66224-4598 | |
(913) 754-7004 | |
Not Available |
Full Name | Vital Roots Chiropractic Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 14300 Kenneth Rd, Leawood, Kansas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851070155 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Bailey Lewis |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1821688102 PECOS PAC ID: 7618382466 Enrollment ID: I20231024003289 |
Provider Name | Rebekah Lynne Niblock |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1376145771 PECOS PAC ID: 9436564150 Enrollment ID: I20240117004498 |
Mailing Address | Practice Location Address |
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Vital Roots Chiropractic Llc 14300 Kenneth Rd Ste 210, Leawood, KS 66224-3985 Ph: (913) 754-7004 | Vital Roots Chiropractic Llc 14300 Kenneth Rd, Leawood, KS 66224-4598 Ph: (913) 754-7004 |
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Vital Roots Chiropractic Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 14300 Kenneth Rd Ste 210, Leawood, KS 66224 Phone: 913-745-7004 |