Organization
HERITAGE FAMILY CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY MELLUM D.C. (CHIROPRACTOR/OWNER)
(913) 815-8076
Entity
Organization
Contact information
Practice address
784 N RIDGEVIEW RD, OLATHE, KS 66061-2900
(913) 815-8076
Mailing address
784 N RIDGEVIEW RD, OLATHE, KS 66061-2900
(913) 815-8076
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-05425
KS
Other
Enumeration date
09/01/2011
Last updated
06/24/2013
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