# PAIN RELIEF CLINIC LLC

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

## Provider details

- **NPI number:** 1578867735
- **Authorized official:** DR. KATHY A MCCUAN D.C. (MEMBER)
- **Authorized official phone:** (573) 388-1546

## Contact information

- **Practice address:** 7379 US HIGHWAY 61, JACKSON, MO 63755-7105
- **Practice address phone:** (573) 388-1546
- **Practice address fax:** (888) 841-9027
- **Mailing address:** 7379 US HIGHWAY 61, JACKSON, MO 63755-7105
- **Mailing address phone:** (573) 388-1546
- **Mailing address fax:** (888) 841-9027

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 804873 | MO | Yes |

## Other

- **Enumeration date:** 01/03/2011
- **Last updated:** 01/13/2011