Organization
LATHROP CHIROPRACTIC CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE LESLIE BEANE D.C. (PRESIDENT)
(816) 740-6822
Entity
Organization
Contact information
Practice address
702B OAK ST., LATHROP, MO 64465
(816) 740-6822
(816) 528-6820
Mailing address
PO BOX 307, LATHROP, MO 64465-0307
(816) 740-6822
(816) 528-6820
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36028017
BLUE CROSS BLUE SHIELD
MO
Enumeration date
09/13/2007
Last updated
09/13/2007
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