Individual
NICOLE MARIE ANNA DIERKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1100 SE CENTURY DR, STE D, LEES SUMMIT, MO 64081-3284
(636) 253-0761
Mailing address
1100 SE CENTURY DR, STE D, LEES SUMMIT, MO 64081-3284
(636) 253-0761
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
01-05379
KS
111N00000X
Chiropractor
Primary
2011000036
MO
Other
Enumeration date
02/24/2011
Last updated
09/12/2013
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