Organization
KJG LLC
Active
Other names
Family Life Chiropractic & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA JEANNE GIBBONS D.C. (MANAGING MEMBER)
(785) 883-9355
Entity
Organization
Contact information
Practice address
430 MAIN ST, WELLSVILLE, KS 66092-0726
(785) 883-9355
(785) 883-4030
Mailing address
430 MAIN ST, PO BOX 726, WELLSVILLE, KS 66092-8878
(785) 883-9355
(785) 883-4030
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0105260
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851548309
NPPES
KS
Enumeration date
05/21/2015
Last updated
04/22/2020
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