Provider Demographics
NPI:1558496604
Name:LEONARDI CHIROPRACTIC, INC
Entity Type:Organization
Organization Name:LEONARDI CHIROPRACTIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DC
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:LEONARDI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:913-381-4357
Mailing Address - Street 1:7070 W 107TH ST
Mailing Address - Street 2:STE 100
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-1810
Mailing Address - Country:US
Mailing Address - Phone:913-381-4357
Mailing Address - Fax:913-381-4357
Practice Address - Street 1:7070 W 107TH ST
Practice Address - Street 2:STE 100
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-1810
Practice Address - Country:US
Practice Address - Phone:913-381-4357
Practice Address - Fax:913-381-4357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS4447111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSP980000Medicare ID - Type Unspecified