Provider Demographics
NPI:1528186020
Name:PIERCE, PRESTON KEITH (DC)
Entity Type:Individual
Prefix:DR
First Name:PRESTON
Middle Name:KEITH
Last Name:PIERCE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7940 PARALLEL PKWY STE 3
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66112-2070
Mailing Address - Country:US
Mailing Address - Phone:913-299-8090
Mailing Address - Fax:913-299-8064
Practice Address - Street 1:7940 PARALLEL PKWY STE 3
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66112-2070
Practice Address - Country:US
Practice Address - Phone:913-299-8090
Practice Address - Fax:913-299-8064
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2016-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KST-01087111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor