Organization
KANSAS CHIROPRACTIC CLINICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT GORDON GAGE D.C. (OWNER)
(316) 644-4558
Entity
Organization
Contact information
Practice address
431 TIMBER RIDGE CIR, DERBY, KS 67037-3637
(316) 644-4558
Mailing address
431 TIMBER RIDGE CIR, DERBY, KS 67037-3637
(316) 644-4558
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
01-03389
KS
Other
Enumeration date
01/03/2008
Last updated
04/20/2008
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