Individual
DR. MICHAEL OWEN KIRSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1500 NE DOUGLAS ST, LEES SUMMIT, MO 64086-4610
(816) 525-5355
Mailing address
PO BOX 6486, LEES SUMMIT, MO 64064-6486
(816) 525-5355
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005472
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13739021
BCBS PROVIDER NUMBER
MO
Enumeration date
06/27/2006
Last updated
07/08/2007
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