Individual
DR. BRIAN KOONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
13905 E 39TH ST S, SUITE 104, INDEPENDENCE, MO 64055-3378
(816) 510-7185
(877) 360-9150
Mailing address
13905 E 39TH ST S, SUITE 104, INDEPENDENCE, MO 64055-3378
(816) 510-7185
(877) 360-9150
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2013010693
MO
Other
Enumeration date
12/04/2013
Last updated
12/04/2013
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