Provider Demographics
NPI:1932860293
Name:EDDINS, KARLYE CAROL (DC)
Entity Type:Individual
Prefix:
First Name:KARLYE
Middle Name:CAROL
Last Name:EDDINS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:KARLYE
Other - Middle Name:CAROL
Other - Last Name:CYGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:229 NW KESSLER DR APT 108
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64081-4171
Mailing Address - Country:US
Mailing Address - Phone:402-570-0043
Mailing Address - Fax:
Practice Address - Street 1:975 NE RICE RD
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64086-6359
Practice Address - Country:US
Practice Address - Phone:402-570-0043
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-07
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2022000599111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor