Provider Demographics
NPI:1114941580
Name:KLINGINSMITH, BONNIE L (DC)
Entity Type:Individual
Prefix:DR
First Name:BONNIE
Middle Name:L
Last Name:KLINGINSMITH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9229 WARD PKWY
Mailing Address - Street 2:STE 105
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-3311
Mailing Address - Country:US
Mailing Address - Phone:816-333-3331
Mailing Address - Fax:816-363-0895
Practice Address - Street 1:9229 WARD PKWY
Practice Address - Street 2:STE 105
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-3311
Practice Address - Country:US
Practice Address - Phone:816-333-3331
Practice Address - Fax:816-363-0895
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2016-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO004957111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor