Provider Demographics
NPI:1235248196
Name:KLINGINSMITH TILFORD, LINDA ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:ANN
Last Name:KLINGINSMITH TILFORD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:LINDA
Other - Middle Name:ANN
Other - Last Name:K. TILFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:401 E. GREGORY BLVD.
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131-1346
Mailing Address - Country:US
Mailing Address - Phone:816-444-6333
Mailing Address - Fax:
Practice Address - Street 1:401 E. GREGORY BLVD.
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64131-1346
Practice Address - Country:US
Practice Address - Phone:816-444-6333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2010-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOCE004022111N00000X
MNCEO04022111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
0002613Medicare Oscar/Certification