Provider Demographics
NPI:1225139991
Name:DUKE, THOMAS C (DC)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:C
Last Name:DUKE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 NW HIGHCLIFFE DR
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64081
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:64131-4029
Practice Address - Country:US
Practice Address - Phone:816-942-9578
Practice Address - Fax:816-942-9589
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO003888111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
4078019OtherBLUE CROSS BLUE SHIELD KC
481155510OtherHUMANA
10850317OtherCAQH
5820015OtherAETNA INSURANCE
5820015OtherAETNA INSURANCE
0003326Medicare ID - Type Unspecified