Organization
NEW LIFE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA R CAMPBELL D.C. (DOCTOR/BUSINESS OWNER)
(816) 347-1515
Entity
Organization
Contact information
Practice address
1008 SW BLUE PKWY, LEES SUMMIT, MO 64063-2100
(816) 347-1515
Mailing address
1008 SW BLUE PKWY, LEES SUMMIT, MO 64063-2100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2007004600
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144355165
NPI
MO
Enumeration date
04/16/2010
Last updated
04/16/2010
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