Organization
VERNON PLACE PREVENTATIVE HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLE JACOB STEPHENS D.C. (CLINIC DIRECTOR)
(913) 839-7352
Entity
Organization
Contact information
Practice address
6301 ANTIOCH RD, MERRIAM, KS 66202-3634
(913) 839-7352
Mailing address
6301 ANTIOCH RD, MERRIAM, KS 66202-3634
(913) 839-7352
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0105365
KS
111NN1001X
Nutrition Chiropractor
0105365
KS
111NR0400X
Rehabilitation Chiropractor
0105365
KS
Other
Enumeration date
05/18/2011
Last updated
05/18/2011
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