Provider Demographics
NPI:1457706509
Name:RAS, KRISTEN (DC)
Entity Type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:
Last Name:RAS
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 1:7 W 99TH ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-4169
Mailing Address - Country:US
Mailing Address - Phone:708-217-5665
Mailing Address - Fax:
Practice Address - Street 1:419A SW WARD RD
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64081-2448
Practice Address - Country:US
Practice Address - Phone:816-895-1800
Practice Address - Fax:816-895-1837
Is Sole Proprietor?:No
Enumeration Date:2016-04-26
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2018043181111N00000X
TN2918111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor