Provider Demographics
NPI:1407842768
Name:ROBERTSON, CONSTANCE M (DC)
Entity Type:Individual
Prefix:DR
First Name:CONSTANCE
Middle Name:M
Last Name:ROBERTSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:CONSTANCE
Other - Middle Name:M
Other - Last Name:MEIS-ROBERTSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:7700 SHAWNEE MISSION PARKWAY
Mailing Address - Street 2:SUITE 211
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66202
Mailing Address - Country:US
Mailing Address - Phone:913-384-5423
Mailing Address - Fax:
Practice Address - Street 1:7700 SHAWNEE MISSION PARKWAY
Practice Address - Street 2:SUITE 211
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66202
Practice Address - Country:US
Practice Address - Phone:913-384-5423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-22
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO6424111N00000X
KS4291111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
871559OtherFIRST HEALTH
5486193OtherAETNA
5486193OtherAETNA