Provider Demographics
NPI:1043625460
Name:KOBLER CHIROPRACTIC AND ACUPUNCTURE LLC
Entity Type:Organization
Organization Name:KOBLER CHIROPRACTIC AND ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:DAVIS
Authorized Official - Last Name:KOBLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:816-569-6577
Mailing Address - Street 1:500 NW ENGLEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64118-3960
Mailing Address - Country:US
Mailing Address - Phone:816-569-6577
Mailing Address - Fax:816-569-6843
Practice Address - Street 1:500 NW ENGLEWOOD RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64118-3960
Practice Address - Country:US
Practice Address - Phone:816-569-6577
Practice Address - Fax:816-569-6843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-24
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012008307261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS1265704688OtherINDIVIDUAL NPI
KS1265704688OtherINDIVIDUAL NPI