Provider Demographics
NPI:1467645408
Name:ALL STAR CHIROPRATIC INC
Entity Type:Organization
Organization Name:ALL STAR CHIROPRATIC INC
Other - Org Name:WESTWOOD CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:R
Authorized Official - Last Name:DOWNING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:913-432-5678
Mailing Address - Street 1:4711 MISSION RD
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:KS
Mailing Address - Zip Code:66205-1626
Mailing Address - Country:US
Mailing Address - Phone:913-432-5678
Mailing Address - Fax:
Practice Address - Street 1:1001 CEDAR ST
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:MO
Practice Address - Zip Code:64080-1464
Practice Address - Country:US
Practice Address - Phone:816-540-8932
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-23
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2003026730111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty