Organization
STAR CHIROPRACTIC FAMILY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KOKAB HUSAIN D.C. (OWNER)
(913) 689-9342
Entity
Organization
Contact information
Practice address
11644 W 75TH ST, SUITE 102, SHAWNEE, KS 66214-1372
(913) 248-9900
(913) 248-9902
Mailing address
11644 W 75TH ST, SUITE 102, SHAWNEE, KS 66214-1372
(913) 248-9900
(913) 248-9902
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
0104722
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29686014
BCBSKC
KS
Enumeration date
12/14/2011
Last updated
01/18/2012
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