Individual
KALI WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
618 SW 3RD ST STE H, LEES SUMMIT, MO 64063-2277
(816) 287-4044
Mailing address
3304 GATEWAY DR, INDEPENDENCE, MO 64057-3328
(432) 559-5732
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
2020012757
MO
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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