Individual
DR. JAMES ALLEN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
400 SE 3RD ST, LEES SUMMIT, MO 64063
(816) 525-3630
(816) 524-3630
Mailing address
PO BOX 878, LEES SUMMIT, MO 64063-0878
(816) 525-3630
(816) 524-3630
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
004304
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08088048
BCBS
—
Enumeration date
11/22/2006
Last updated
07/08/2007
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