| New Leaf Chiropractic Llc | |
|
3801 W 6th St Lawrence KS 66049-3252 | |
| (785) 865-8865 | |
| Not Available |
| Full Name | New Leaf Chiropractic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3801 W 6th St, Lawrence, Kansas |
| Authorized Official Name and Position | Kailee Logan (OWNER) |
| Authorized Official Contact | 7852241464 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Leaf Chiropractic Llc 5440 Cedar St Roeland Park KS 66205-2219 Ph: (785) 224-1464 | New Leaf Chiropractic Llc 3801 W 6th St Lawrence KS 66049-3252 Ph: (785) 865-8865 |
| NPI Number | 1942904867 |
|---|---|
| Provider Enumeration Date | 03/27/2023 |
| Last Update Date | 03/27/2023 |
| Medicare PECOS PAC ID | 9234594847 |
|---|---|
| Medicare Enrollment ID | O20230504001488 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942904867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Kailee Logan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1487357380 PECOS PAC ID: 0143685750 Enrollment ID: I20230504001563 |
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