Provider Demographics
NPI:1730115874
Name:HEALING WELL CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:HEALING WELL CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTINE
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:STROUF
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:816-436-7500
Mailing Address - Street 1:125 NE 91ST ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64155-3329
Mailing Address - Country:US
Mailing Address - Phone:816-436-7500
Mailing Address - Fax:816-436-7501
Practice Address - Street 1:125 NE 91ST ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64155-3329
Practice Address - Country:US
Practice Address - Phone:816-436-7500
Practice Address - Fax:816-436-7501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-23
Last Update Date:2014-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2005022241111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS000B237Medicare ID - Type Unspecified