Organization
APPROACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERRICK T DUBE D.C. (SOLE OWNER)
(913) 628-6837
Entity
Organization
Contact information
Practice address
8016 STATE LINE RD, STE 100, PRAIRIE VILLAGE, KS 66208-3721
(913) 826-6837
(913) 341-4301
Mailing address
8016 STATE LINE RD, STE 100, PRAIRIE VILLAGE, KS 66208-3721
(913) 826-6837
(913) 341-4301
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-05796
KS
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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