Individual
JESSICA LYNN VANDERKLEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
705 S BROADWAY, OAK GROVE, MO 64075-8102
(816) 625-1598
(816) 625-1599
Mailing address
705 S BROADWAY, OAK GROVE, MO 64075-8102
(816) 625-1598
(816) 625-1599
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2017033050
MO
Other
Enumeration date
09/13/2017
Last updated
11/08/2018
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