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Organization
CITY OF FOUNTAINS CHIROPRACTIC, PC
Active
Organization
CITY OF FOUNTAINS CHIROPRACTIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER KAY WATTS D.C. (PRESIDENT)
(816) 255-3042
Entity
Organization
Contact information
Practice address
405 E 19TH AVE STE A, NORTH KANSAS CITY, MO 64116-3650
(816) 255-3042
Mailing address
405 E 19TH AVE STE A, NORTH KANSAS CITY, MO 64116-3650
(816) 255-3042
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2015011201
MO
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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