Provider Demographics
NPI:1033416748
Name:DR DUKE
Entity Type:Organization
Organization Name:DR DUKE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:C
Authorized Official - Last Name:DUKE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:816-942-9578
Mailing Address - Street 1:400 E RED BRIDGE RD
Mailing Address - Street 2:SUITE 308
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131-4035
Mailing Address - Country:US
Mailing Address - Phone:816-942-9578
Mailing Address - Fax:816-942-9589
Practice Address - Street 1:400 E RED BRIDGE RD
Practice Address - Street 2:SUITE 308
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64131-4035
Practice Address - Country:US
Practice Address - Phone:816-942-9578
Practice Address - Fax:816-942-9589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-15
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty