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Individual

DR. THOMAS PATRICK MCNERNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1402 NW VIVION RD, KANSAS CITY, MO 64118-4555
(816) 746-9045
(816) 734-9035
Mailing address
1402 NW VIVION RD, KANSAS CITY, MO 64118-4555
(816) 746-9045
(816) 734-9035

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2000167943
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18104711
MO TAX NUMBER
MO
01
29808015
BLUE CROSS BLUE SHIELD
MO
01
DE870005
EMPLOYER NUMBER
MO
Enumeration date
05/17/2007
Last updated
07/08/2007
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