Organization
KANSAS CITY HEALTH & WELLNESS CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANNISE L NATHANIEL (OWNER)
(816) 806-2757
Entity
Organization
Contact information
Practice address
11902 BLUE RIDGE EXT STE O, GRANDVIEW, MO 64030-1199
(816) 808-9900
(913) 273-0081
Mailing address
11902 BLUE RIDGE EXT STE O, GRANDVIEW, MO 64030-1199
(816) 808-9900
(913) 273-0081
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
01/08/2021
Last updated
01/08/2021
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