Individual
MAITHY BUI TA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
7900 LEES SUMMIT RD, KANSAS CITY, MO 64139-1236
(816) 404-9120
Mailing address
8905 BENSON ST, OVERLAND PARK, KS 66212-3632
(316) 218-2297
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2019019322
MO
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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