Provider Demographics
NPI:1740406594
Name:KAPPES, JOSEPH PATRICK (MS, DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:PATRICK
Last Name:KAPPES
Suffix:
Gender:M
Credentials:MS, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13010 WHITE AVE
Mailing Address - Street 2:SUITE G
Mailing Address - City:GRANDVIEW
Mailing Address - State:MO
Mailing Address - Zip Code:64030-2667
Mailing Address - Country:US
Mailing Address - Phone:816-765-5553
Mailing Address - Fax:816-765-7996
Practice Address - Street 1:13010 WHITE AVE
Practice Address - Street 2:SUITE G
Practice Address - City:GRANDVIEW
Practice Address - State:MO
Practice Address - Zip Code:64030-2667
Practice Address - Country:US
Practice Address - Phone:816-765-5553
Practice Address - Fax:816-765-7996
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MODRC005253111N00000X, 111NN1001X, 111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111N00000XChiropractic ProvidersChiropractor
Not Answered111NN1001XChiropractic ProvidersChiropractorNutrition
Not Answered111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO0007080Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER