Organization
GULLEDGE FAMILY WELLNESS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIRIN MOSHIRI GULLEDGE D.C. (CHIROPRACTOR)
(913) 338-1112
Entity
Organization
Contact information
Practice address
11879 W 112TH ST, SUITE 100, OVERLAND PARK, KS 66210-2725
(913) 338-1112
(913) 338-2079
Mailing address
11879 W 112TH ST, SUITE 100, OVERLAND PARK, KS 66210-2725
(913) 338-1112
(913) 338-2079
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-05085
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275676371
TYPE I NPI
KS
Enumeration date
12/09/2009
Last updated
09/18/2013
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