Individual
KENYA LASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
11720 W 135TH ST, OVERLAND PARK, KS 66221-9395
(913) 305-3686
Mailing address
11720 W 135TH ST, OVERLAND PARK, KS 66221-9395
(913) 305-3686
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-06009
KS
Other
Enumeration date
10/24/2019
Last updated
07/19/2023
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