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Organization

KEVIN STALLBAUMER, D.C. LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEVIN STALLBAUMER D.C. (OWNER)
(913) 738-6018
Entity
Organization

Contact information

Practice address
8764 W 95TH ST, OVERLAND PARK, KS 66212-4049
(913) 738-6018
(913) 383-2279
Mailing address
8764 W 95TH ST, OVERLAND PARK, KS 66212-4049
(913) 738-6018
(913) 383-2279

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-05248
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0009926260
AETNA
KS
01
42265037
BCBS
01
KA2629
PTAN
KS
Enumeration date
08/24/2013
Last updated
02/02/2015
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