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Individual

DR. THERESA ANN FEBBO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
6908 NW BARRY RD, KANSAS CITY, MO 64153-1764
(816) 665-8838
(816) 584-0149
Mailing address
4901 NW 58TH ST, KANSAS CITY, MO 64151-4634
(816) 665-8838
(816) 584-0149

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005847
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10001164303
COMMUNITY HEALTH PLAN
MO
01
16971084
BC/BS
MO
Enumeration date
10/19/2006
Last updated
07/08/2007
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