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Organization

DR. KAITLYN BELISLE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAITLYN BELISLE DC (CHIROPRACTOR)
(580) 402-2095
Entity
Organization

Contact information

Practice address
4 WEST DR STE 100, CHESTERFIELD, MO 63017-0003
(636) 536-3622
(636) 536-2039
Mailing address
4 WEST DR STE 100, CHESTERFIELD, MO 63017-0003
(636) 536-3622
(636) 536-2039

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1033779632
CHIROPRACTOR
MO
Enumeration date
02/01/2022
Last updated
02/01/2022
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