Organization
WILLARD CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY MARIE BRUCE (OWNER/CHIROPRACTOR)
(417) 742-2617
Entity
Organization
Contact information
Practice address
128 GRAND PRAIRIE, WILLARD, MO 65781
(417) 742-2617
(417) 742-6887
Mailing address
128 GRAND PRAIRIE, P.O. BOX 305, WILLARD, MO 65781
(417) 742-2617
(417) 742-6887
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
003562
MO
Other
Enumeration date
09/13/2006
Last updated
05/05/2021
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