Individual
DR. KEZIA KAY SHINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
11960 W 119TH ST, OVERLAND PARK, KS 66213-2216
(913) 322-0251
Mailing address
500 S CARDINAL DR, OLATHE, KS 66062-1845
(913) 322-0251
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-05327
KS
Other
Enumeration date
05/14/2010
Last updated
05/14/2010
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