Organization
GOODRUM HEALTH ENTERPRISES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY LYN GOODRUM D.C. (OWNER)
(913) 390-9355
Entity
Organization
Contact information
Practice address
153 W 151ST ST, SUITE 150, OLATHE, KS 66061-5348
(913) 390-9355
(913) 390-9356
Mailing address
153 W 151ST ST, SUITE 150, OLATHE, KS 66061-5348
(913) 390-9355
(913) 390-9356
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5164
KS
Other
Enumeration date
03/23/2009
Last updated
03/23/2009
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