Individual
DR. KANDY LYNN HANAFIN VICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
5335 S CAMPBELL AVE STE B, SPRINGFIELD, MO 65810-2492
(417) 350-1131
(417) 350-1191
Mailing address
5335 S CAMPBELL AVE STE B, SPRINGFIELD, MO 65810-2492
(417) 350-1131
(417) 350-1191
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006797
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000015309
PTAN
MO
Enumeration date
10/03/2005
Last updated
01/23/2020
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