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Individual

DR. ANDY LANE MINOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
801 W MAIN ST, BLUE SPRINGS, MO 64015-3707
(816) 228-5522
(816) 220-0205
Mailing address
801 W MAIN ST, BLUE SPRINGS, MO 64015-3707
(816) 228-5522
(816) 220-0205

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2005001169
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
35144011
BCBS-KC
MO
Enumeration date
03/28/2007
Last updated
02/03/2010
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