Provider Demographics
NPI:1275927584
Name:DR JILL CHIROPRACTIC AND ACUPUNCTURE PA
Entity Type:Organization
Organization Name:DR JILL CHIROPRACTIC AND ACUPUNCTURE PA
Other - Org Name:CURA INTEGRATIVE HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC, CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JILL
Authorized Official - Middle Name:MARIE STROM
Authorized Official - Last Name:GULLEDGE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:913-499-7053
Mailing Address - Street 1:7000 W 121ST ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66209-2008
Mailing Address - Country:US
Mailing Address - Phone:913-499-7053
Mailing Address - Fax:913-387-4849
Practice Address - Street 1:7000 W 121ST ST
Practice Address - Street 2:SUITE 100
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66209-2008
Practice Address - Country:US
Practice Address - Phone:913-499-7053
Practice Address - Fax:913-387-4849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-25
Last Update Date:2015-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0105311111N00000X, 111NP0017X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NP0017XChiropractic ProvidersChiropractorPediatric ChiropractorGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty