Organization
MAXLIFE HEALTH & LASER CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARIN UPCHURCH D.C. (OWNER)
(913) 327-7246
Entity
Organization
Contact information
Practice address
11010 QUIVIRA RD, OVERLAND PARK, KS 66210-1239
(913) 327-7246
(913) 327-7248
Mailing address
11010 QUIVIRA RD, OVERLAND PARK, KS 66210-1239
(913) 327-7246
(913) 327-7248
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-4367
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005648554
AETNA
KS
01
—
1093931743
NPI INDIVIDUAL
KS
01
—
39757011
BLUE CROSS BLUE SHIELD
KS
Enumeration date
06/11/2009
Last updated
12/01/2016
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