Individual
DR. JAVARIUS SHANTAVIUS HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
933 MCGEE ST UNIT 217, KANSAS CITY, MO 64106-2208
(913) 428-0204
Mailing address
933 MCGEE ST UNIT 217, KANSAS CITY, MO 64106-2208
(913) 428-0204
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2024025772
MO
Other
Enumeration date
07/01/2024
Last updated
01/26/2026
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