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Individual

MRS. KENDRA LYNN PEARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
5601 NE ANTIOCH RD, SUITE 8, GLADSTONE, MO 64119-2302
(816) 452-4488
(816) 452-4491
Mailing address
5601 NE ANTIOCH RD, SUITE 8, GLADSTONE, MO 64119-2302
(816) 452-4488
(816) 452-4491

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2004022004
MO
171100000X
Acupuncturist
2004022004
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
34722021
BCBS
MO
Enumeration date
06/07/2006
Last updated
02/25/2009
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