Provider Demographics
NPI:1477360865
Name:FARLIN, KAILEE NICOLE (DC)
Entity type:Individual
Prefix:DR
First Name:KAILEE
Middle Name:NICOLE
Last Name:FARLIN
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 1:29 WALLINGFORD DR
Mailing Address - Street 2:
Mailing Address - City:PLATTE CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64079-9604
Mailing Address - Country:US
Mailing Address - Phone:660-853-0713
Mailing Address - Fax:
Practice Address - Street 1:707 N 36TH ST
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-2975
Practice Address - Country:US
Practice Address - Phone:816-676-9100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-18
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2024048991111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor