Individual
CODY KRAUTER POORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10400 W 103RD ST STE 20, OVERLAND PARK, KS 66214-2664
(913) 385-5444
Mailing address
8916 W 97TH TER, OVERLAND PARK, KS 66212-4017
(727) 256-4241
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-06257
KS
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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