Individual
SAMUEL SOMERHALDER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7108 W 119TH ST, OVERLAND PARK, KS 66213-1116
(913) 300-1252
Mailing address
7108 W 119TH ST, OVERLAND PARK, KS 66213-1116
(913) 300-1252
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
01-05967
KS
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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