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Individual

SCOTT LEO KWAPISZESKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D. C.

Contact information

Practice address
135 N ROY HILL BLVD, GOODMAN, MO 64843-9806
(417) 364-4060
Mailing address
135 N ROY HILL BLVD, GOODMAN, MO 64843-9806
(417) 364-4060

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006336
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
U55402
UPIN
Enumeration date
08/30/2006
Last updated
11/27/2007
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