Individual
DR. KENNETH L DEITCHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
600 W 103RD S, #201, KANSAS CITY, MO 64114
(816) 942-9655
(816) 942-9655
Mailing address
600 W 103RD S, #201, KANSAS CITY, MO 64114
(816) 942-9655
(816) 942-9655
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
C3571
KS
111N00000X
Chiropractor
Primary
MO003183
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02183011
BCBS
—
Enumeration date
07/25/2006
Last updated
07/08/2007
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