Organization
SPINAL CARE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK CHARLES CHILDRESS D.C. (PRESIDENT)
(913) 744-2973
Entity
Organization
Contact information
Practice address
11960 W 119TH ST, OVERLAND PARK, KS 66213-2216
(913) 744-2973
Mailing address
15283 W 147TH DR, OLATHE, KS 66062-5002
(913) 397-8882
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
02-4944
KS
Other
Enumeration date
06/05/2007
Last updated
08/22/2020
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