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Individual

DR. KELLY THOMAS BALTUSKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
13830 SANTA FE TRAIL DR, STE. 102, LENEXA, KS 66215-3310
(913) 283-9803
Mailing address
13830 SANTA FE TRAIL DR, STE. 102, LENEXA, KS 66215-3310
(913) 283-9803

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-05508
KS

Other

Enumeration date
03/30/2012
Last updated
11/21/2016
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