Organization
ARCKCMO LLC
Active
Other names
Accident Rehab Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THAYER BANWART (PARTNER)
(816) 779-1022
Entity
Organization
Contact information
Practice address
4609 PASEO BLVD STE 100, KANSAS CITY, MO 64110-1843
(913) 424-0324
Mailing address
4609 PASEO BLVD STE 100, KANSAS CITY, MO 64110-1843
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
230101972
—
MO
Enumeration date
04/23/2018
Last updated
12/05/2022
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