Provider Demographics
NPI:1104378223
Name:COMPLETE CARE CHIROPRACTIC KC, LLC
Entity Type:Organization
Organization Name:COMPLETE CARE CHIROPRACTIC KC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DEVIN
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:MORTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:316-253-1212
Mailing Address - Street 1:784 N RIDGEVIEW RD
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-2900
Mailing Address - Country:US
Mailing Address - Phone:913-815-8076
Mailing Address - Fax:866-446-9693
Practice Address - Street 1:784 N RIDGEVIEW RD
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-2900
Practice Address - Country:US
Practice Address - Phone:913-815-8076
Practice Address - Fax:866-446-9693
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-25
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05721111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty