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Organization
WALDO WELLNESS GROUP PC
Active
Organization
WALDO WELLNESS GROUP PC
Active
Other names
Waldo Chiropractic Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY LEE KELLERMAN D.C. (PRESIDENT/OWNER)
(816) 333-2533
Entity
Organization
Contact information
Practice address
7210 WORNALL RD, KANSAS CITY, MO 64114-1345
(816) 333-2533
(816) 333-2586
Mailing address
7210 WORNALL RD, KANSAS CITY, MO 64114-1345
(816) 333-2533
(816) 333-2586
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2007030924
MO
207Q00000X
Family Medicine Physician
Primary
33655
MO
225100000X
Physical Therapist
20110310891
MO
Other
Enumeration date
05/26/2008
Last updated
03/07/2013
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