Organization
PRAIRIE VILLAGE CHIROPRACTIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA RIBASTE (DC)
(913) 948-6602
Entity
Organization
Contact information
Practice address
9401 NALL AVE, PRAIRIE VILLAGE, KS 66207-2515
(913) 948-6602
(913) 948-6603
Mailing address
9401 NALL AVE, PRAIRIE VILLAGE, KS 66207-2515
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
01-04796
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31252015
BLUE CROSS BLUE SHIELD
—
Enumeration date
02/06/2009
Last updated
02/06/2009
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