Individual
JOEL POLACEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4711 MISSION RD, WESTWOOD, KS 66205-1626
(913) 432-5678
Mailing address
12408 W 120TH CT APT 1925, OVERLAND PARK, KS 66213-4876
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-05580
KS
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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