# SWICKARD CHIROPRACTIC CLINIC, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Swickard Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215130380
- **Authorized official:** MR. KENNETH R SWICKARD D.C. (OWNER PRESIDENT)
- **Authorized official phone:** (816) 452-0500

## Contact information

- **Practice address:** 2518 NE 43RD ST, KANSAS CITY, MO 64116-2449
- **Practice address phone:** (916) 452-0500
- **Practice address fax:** (816) 452-0565
- **Mailing address:** 2518 NE 43RD ST, KANSAS CITY, MO 64116-2449
- **Mailing address phone:** (916) 452-0500
- **Mailing address fax:** (816) 452-0565

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | CE003047 | MO | Yes |

## Other

- **Enumeration date:** 06/07/2007
- **Last updated:** 01/24/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1790732121 | UPI NUMBER | MO |