# KANSAS CITY DISC AND NERVE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033561030
- **Authorized official:** VICKI SHIELDS (PATIENT ACC. REP)
- **Authorized official phone:** (816) 945-8298

## Contact information

- **Practice address:** 350 SW GREENWICH DR., LEE'S SUMMIT, MO 64082
- **Practice address phone:** (816) 537-5995
- **Practice address fax:** (816) 945-7179
- **Mailing address:** 350 SW GREENWICH DR., LEE'S SUMMIT, MO 64082
- **Mailing address phone:** (816) 537-5995
- **Mailing address fax:** (816) 945-7179

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | MO | Yes |

## Other

- **Enumeration date:** 07/01/2016
- **Last updated:** 07/06/2016