Provider Demographics
NPI:1568680957
Name:ANDREWS, KHONDA SCHINDLER (DC)
Entity Type:Individual
Prefix:DR
First Name:KHONDA
Middle Name:SCHINDLER
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:KHONDA
Other - Middle Name:SUE
Other - Last Name:SCHLINDLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:3874 E JACKSON BLVD
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MO
Mailing Address - Zip Code:63755-3710
Mailing Address - Country:US
Mailing Address - Phone:573-243-8983
Mailing Address - Fax:573-243-7209
Practice Address - Street 1:3874 E JACKSON BLVD
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MO
Practice Address - Zip Code:63755-3710
Practice Address - Country:US
Practice Address - Phone:573-243-8983
Practice Address - Fax:573-243-7209
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2014-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO004660111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2930OtherBLUE CROSS BLUE SHIELD #
MO000031083Medicare ID - Type UnspecifiedMEDICARE PROVIDER ID
MO2930OtherBLUE CROSS BLUE SHIELD #