Organization
DR YENNIE CHIROPRACTIC CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD D YENNIE DC, DIPL AC (NCCAOM) (PRESIDENT)
(816) 931-0287
Entity
Organization
Contact information
Practice address
4140 BROADWAY ST, KANSAS CITY, MO 64111-2617
(816) 931-0287
(816) 931-2127
Mailing address
4140 BROADWAY AVE, KANSAS CITY, MO 64111
(816) 931-0287
(816) 931-2127
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
002489
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05689018
BLUE CROSS BLUE SHIELD
MO
Enumeration date
05/29/2007
Last updated
08/22/2020
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