# GRANDVIEW CHIROPRACTIC & ACUPUNCTURE CLINIC LLC

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

## Provider details

- **NPI number:** 1588103972
- **Authorized official:** KYUNGHWAN AN D.C. (OWNER, DOCTOR)
- **Authorized official phone:** (816) 217-0020

## Contact information

- **Practice address:** 12121 BLUE RIDGE BLVD, SUITE O, GRANDVIEW, MO 64030-6401
- **Practice address phone:** (816) 217-0020
- **Mailing address:** 12121 BLUE RIDGE EXT STE A, GRANDVIEW, MO 64030-1103
- **Mailing address phone:** (816) 217-0020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 2013013772 | MO | Yes |

## Other

- **Enumeration date:** 02/17/2017
- **Last updated:** 07/15/2019