Organization
PROACTIVE CHIROPRACTIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAVID NOOROLLAH DC (PRESIDENT)
(913) 491-1500
Entity
Organization
Contact information
Practice address
6700 W 121ST ST, SUITE 200, OVERLAND PARK, KS 66209-2027
(913) 491-1500
(913) 469-0923
Mailing address
6700 W 121ST ST, SUITE 200, OVERLAND PARK, KS 66209-2027
(913) 491-1500
(913) 469-0923
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4907
KS
Other
Enumeration date
02/21/2007
Last updated
06/16/2011
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