Provider Demographics
NPI:1609115377
Name:MCLAUGHLIN, KAILEIGH BETH (DC)
Entity Type:Individual
Prefix:MRS
First Name:KAILEIGH
Middle Name:BETH
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 N VINE ST
Mailing Address - Street 2:
Mailing Address - City:EL DORADO
Mailing Address - State:KS
Mailing Address - Zip Code:67042-2055
Mailing Address - Country:US
Mailing Address - Phone:631-632-1227
Mailing Address - Fax:316-321-2225
Practice Address - Street 1:215 N VINE ST
Practice Address - Street 2:
Practice Address - City:EL DORADO
Practice Address - State:KS
Practice Address - Zip Code:67042-2055
Practice Address - Country:US
Practice Address - Phone:316-321-2273
Practice Address - Fax:316-321-2225
Is Sole Proprietor?:No
Enumeration Date:2013-01-31
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05524111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor