| Star Chiropractic Family Clinic | |
|
11644 W 75th St Suite 102 Shawnee KS 66214-1372 | |
| (913) 248-9900 | |
| (913) 248-9902 |
| Full Name | Star Chiropractic Family Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 11644 W 75th St, Shawnee, Kansas |
| Authorized Official Name and Position | Kokab Husain (OWNER) |
| Authorized Official Contact | 9136899342 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Star Chiropractic Family Clinic 11644 W 75th St Suite 102 Shawnee KS 66214-1372 Ph: (913) 248-9900 | Star Chiropractic Family Clinic 11644 W 75th St Suite 102 Shawnee KS 66214-1372 Ph: (913) 248-9900 |
| NPI Number | 1598034993 |
|---|---|
| Provider Enumeration Date | 12/14/2011 |
| Last Update Date | 01/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598034993 | NPI | - | NPPES |
| 29686014 | Other | KS | BCBSKC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0104722 (Kansas) | Primary |
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