Provider Demographics
NPI:1275807349
Name:CARVER, RANDI (DC)
Entity Type:Individual
Prefix:
First Name:RANDI
Middle Name:
Last Name:CARVER
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 1:13126 S 71 HWY STE A
Mailing Address - Street 2:
Mailing Address - City:GRANDVIEW
Mailing Address - State:MO
Mailing Address - Zip Code:64030-3100
Mailing Address - Country:US
Mailing Address - Phone:816-569-6115
Mailing Address - Fax:
Practice Address - Street 1:13126 S 71 HWY STE A
Practice Address - Street 2:
Practice Address - City:GRANDVIEW
Practice Address - State:MO
Practice Address - Zip Code:64030-3100
Practice Address - Country:US
Practice Address - Phone:816-569-6115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-06
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011037869111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor