Organization
SHOAL CREEK CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN DUNIVENT D.C. (OWNER)
(660) 322-0641
Entity
Organization
Contact information
Practice address
11105 N BOOTH AVE, KANSAS CITY, MO 64157-9205
(660) 322-0641
Mailing address
11105 N BOOTH AVE, KANSAS CITY, MO 64157-9205
(660) 322-0641
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2005026319
MO
Other
Enumeration date
02/23/2007
Last updated
08/22/2020
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