Organization
HEALTHCARE CENTER OF FUNCTIONAL MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAVIS MICHAEL KERSHNER D.C. (CHIROPRACTOR)
(660) 424-3994
Entity
Organization
Contact information
Practice address
101 N LYONS ST, BUTLER, MO 64730-2131
(660) 679-4423
Mailing address
101 N LYONS ST, BUTLER, MO 64730-2131
(660) 679-4423
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
2007037820
MO
Other
Enumeration date
04/12/2009
Last updated
04/12/2009
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