Individual
DR. KYLE VINCENT GULLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
11879 W 112TH ST, SUITE 100, OVERLAND PARK, KS 66210-2725
(913) 338-1112
Mailing address
11107 W 115TH TER, OVERLAND PARK, KS 66210-3417
(913) 481-1322
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-05280
KS
Other
Enumeration date
09/01/2009
Last updated
10/18/2013
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