Individual
DR. MARK CHARLES CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
11960 W 119TH ST, OVERLAND PARK, KS 66213-2216
(913) 744-2973
(913) 245-9259
Mailing address
15283 W 147TH DR, OLATHE, KS 66062-5002
(913) 744-2973
(913) 345-9259
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2006012360
MO
111N00000X
Chiropractor
Primary
4944
KS
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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