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Individual

CORY JAMES HOLTWICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C. NP-C

Contact information

Practice address
8880 NE 82ND TER, KANSAS CITY, MO 64158-1313
(816) 437-8122
(816) 407-9609
Mailing address
8880 NE 82ND TER, KANSAS CITY, MO 64158-1313
(816) 437-8122
(816) 407-9609

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
5251
KY
163W00000X
Registered Nurse
RN-80240
NM
363LF0000X
Family Nurse Practitioner
Primary
2016030152
MO
363LF0000X
Family Nurse Practitioner
CNP-02496
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5251
CHIROPRACTIC LICENSE NUMBER
KY
Enumeration date
09/16/2010
Last updated
10/06/2017
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