Organization
THRIVE KC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BETHANY LONG DC (OWNER/CHIROPRACTOR)
(913) 957-9360
Entity
Organization
Contact information
Practice address
8016 STATE LINE RD STE 100, PRAIRIE VILLAGE, KS 66208-3713
(913) 735-6854
(913) 273-6617
Mailing address
13601 KING ST APT 727, OVERLAND PARK, KS 66221-8186
(913) 957-9360
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0105832
KS
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
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