Individual
DR. WYATT STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6240 W 135TH ST STE 200, OVERLAND PARK, KS 66223-4849
(816) 349-1220
Mailing address
708 18TH CIR, GREENWOOD, MO 64034-9119
(417) 294-2738
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
01-06046
KS
111NN1001X
Nutrition Chiropractor
01-06046
KS
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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