Individual
RICHARD NICHOLAS DESTEFANO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
8301 STATE LINE RD, #210, KANSAS CITY, MO 64114
(816) 333-3700
Mailing address
8301 STATE LINE RD, #210, KANSAS CITY, MO 64114
(816) 333-3700
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
04217
MO
Other
Enumeration date
05/19/2006
Last updated
07/08/2007
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