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Individual

DR. LARRY LEE LIBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
3228 N 109TH PL, KANSAS CITY, KS 66109
(517) 263-6181
(517) 263-6181
Mailing address
3228 N 109TH PL, KANSAS CITY, KS 66109-8908
(517) 270-2704
(517) 270-2704

Taxonomy

Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
2301005437
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1958864
MI
01
38-2837719
COMMERCIAL INSURANCE
MI
01
950D611170
BCBSM
MI
Enumeration date
07/25/2006
Last updated
03/21/2017
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