Provider Demographics
NPI:1811347743
Name:KRIM, JOHN WILLIAMS III (DC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:WILLIAMS
Last Name:KRIM
Suffix:III
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:731 NE LAKEWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64064-1353
Mailing Address - Country:US
Mailing Address - Phone:816-373-3373
Mailing Address - Fax:816-373-2902
Practice Address - Street 1:14625 S CAENEN LN
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-8405
Practice Address - Country:US
Practice Address - Phone:913-638-9669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-22
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20201009987111N00000X
KS01-05807111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor