Organization
FOUNTAIN OF LIFE FAMILY CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH MICHAEL KNUDSON D.C. (PRESIDENT)
(816) 741-4711
Entity
Organization
Contact information
Practice address
8335 N CONGRESS AVE, KANSAS CITY, MO 64152-2041
(816) 741-4711
(816) 741-0119
Mailing address
8335 N CONGRESS AVE, KANSAS CITY, MO 64152-2041
(816) 741-4711
(816) 741-0119
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
04/06/2007
Last updated
04/10/2008
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