Individual
DR. ETHAN KYLE KOMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2310 HOLMES ST, KANSAS CITY, MO 64108-2602
(816) 404-6489
Mailing address
8139 RENNER RD APT 3, LENEXA, KS 66219-8009
(785) 760-5503
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
01-05675
KS
111N00000X
Chiropractor
Primary
2016010041
MO
Other
Enumeration date
01/20/2015
Last updated
04/04/2016
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