Individual
GREGORY V INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6556 JOHNSON DR, MISSION, KS 66202-2615
(913) 432-4780
(913) 262-2690
Mailing address
6556 JOHNSON DR, MISSION, KS 66202-2615
(913) 432-4780
(913) 262-2690
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-05643
KS
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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