Individual
DR. TERRY WAYNE CHANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
211 NE 54TH ST, SUITE 201, KANSAS CITY, MO 64118-4390
(816) 453-6777
(816) 454-3601
Mailing address
211 NE 54TH ST, SUITE 201, KANSAS CITY, MO 64118-4390
(816) 453-6777
(816) 454-3601
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2014010514
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200019157
—
MO
Enumeration date
06/04/2010
Last updated
12/19/2022
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