Individual
DR. SETH A KOUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
323 SE WILSON ST, LEES SUMMIT, MO 64063-2715
(816) 246-8990
Mailing address
1807 ALLENDALE DR, GREENWOOD, MO 64034-9445
(816) 728-6793
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2004017439
MO
Other
Enumeration date
03/27/2007
Last updated
06/16/2008
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