Provider Demographics
NPI:1003090465
Name:NATURALLY CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:NATURALLY CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:H
Authorized Official - Last Name:LEDUC
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:913-381-2525
Mailing Address - Street 1:4687 INDIAN CREEK PKWY
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66207-4011
Mailing Address - Country:US
Mailing Address - Phone:913-381-2525
Mailing Address - Fax:913-381-2525
Practice Address - Street 1:4687 INDIAN CREEK PKWY
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66207-4011
Practice Address - Country:US
Practice Address - Phone:913-381-2525
Practice Address - Fax:913-381-2525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-20
Last Update Date:2007-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0104288111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSS820000Medicare PIN