Individual
JOE D JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
413 CHEROKEE ST, LEAVENWORTH, KS 66048-2717
(913) 651-2500
(913) 651-2520
Mailing address
413 CHEROKEE ST, LEAVENWORTH, KS 66048-2717
(913) 651-2500
(913) 651-2520
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
01-04846
KS
111NI0900X
Internist Chiropractor
2003032014
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
062044
BLUE CROSS BLUE SHIELD PR
KS
01
—
660059
BLUE CROSS BLUE SHIELD GR
KS
Enumeration date
07/06/2006
Last updated
05/29/2018
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