Individual
DR. KEVIN ROSS MOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
8014 STATE LINE RD, SUITE 200, PRAIRIE VILLAGE, KS 66208-3710
(913) 642-4188
Mailing address
6565 FOXRIDGE DR APT 1050, MISSION, KS 66202-1393
(913) 403-9869
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-05061
KS
Other
Enumeration date
10/28/2006
Last updated
07/08/2007
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