Provider Demographics
NPI:1760825079
Name:CHIROPRACTIC KINESIOLOGY CLINIC
Entity Type:Organization
Organization Name:CHIROPRACTIC KINESIOLOGY CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:REED
Authorized Official - Last Name:MCMURTRAY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:816-889-9800
Mailing Address - Street 1:420 ARMOUR RD
Mailing Address - Street 2:
Mailing Address - City:N KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-3512
Mailing Address - Country:US
Mailing Address - Phone:816-889-9800
Mailing Address - Fax:816-889-9802
Practice Address - Street 1:420 ARMOUR RD
Practice Address - Street 2:
Practice Address - City:N KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-3512
Practice Address - Country:US
Practice Address - Phone:816-889-9800
Practice Address - Fax:816-889-9802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-17
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty