Individual
ALISSA R GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
5931 NIEMAN RD, SHAWNEE, KS 66203-2931
(316) 617-7348
Mailing address
12803 W 92ND PL, LENEXA, KS 66215-3776
(316) 617-7348
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-05964
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-05964
KANSAS HEALING ARTS LICENSE
KS
Enumeration date
02/05/2019
Last updated
03/18/2024
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