Individual
DR. LYNN L MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
4700 BELLEVIEW AVE, SUITE L12, KANSAS CITY, MO 64112-1378
(816) 753-4600
(816) 753-4620
Mailing address
3738 HARRISON ST, KANSAS CITY, MO 64109-2648
(816) 931-7689
(816) 753-4620
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
01-04816
KS
111NS0005X
Sports Physician Chiropractor
Primary
2002030424
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32542012
BLUE CROSS BLUE SHIELD ID
MO
01
—
85-0487961
TAX ID
MO
Enumeration date
06/08/2006
Last updated
08/14/2012
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