Organization
VITALITY CHIROPRACTIC AND FAMILY WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STACY KORRINE NELSON D.C (OWNER)
(402) 587-1401
Entity
Organization
Contact information
Practice address
7410 SWITZER ST, SHAWNEE, KS 66203-4550
(913) 962-7408
Mailing address
7410 SWITZER ST, SHAWNEE, KS 66203-4550
(913) 962-7408
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-05606
KS
Other
Enumeration date
02/04/2014
Last updated
02/04/2014
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