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Organization

CENTRAL DIVISION CHIROPRACTIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ETHAN E PETERSON DC (CHIROPRACTOR)
(816) 301-4355
Entity
Organization

Contact information

Practice address
4049 PENNSYLVANIA AVE STE 100, KANSAS CITY, MO 64111-3022
(816) 301-4355
(816) 301-6193
Mailing address
4049 PENNSYLVANIA AVE STE 100, KANSAS CITY, MO 64111-3022
(816) 301-4355
(816) 301-6193

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
05/10/2024
Last updated
05/10/2024
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