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Organization

KIVISTO CHIROPRACTIC P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS BLAKE KIVISTO DC (OWNER)
(913) 859-0282
Entity
Organization

Contact information

Practice address
10628 W 87TH ST, OVERLAND PARK, KS 66214-1651
(913) 859-0282
(913) 859-0283
Mailing address
10628 W 87TH ST, OVERLAND PARK, KS 66214-1651
(913) 859-0282
(913) 859-0283

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
08/28/2009
Last updated
10/13/2009
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