Organization
INTEGRATIVE CHIROPRACTIC GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM RUTHERFORD D.C. (OWNER)
(913) 215-9212
Entity
Organization
Contact information
Practice address
5600 W 95TH ST, SUITE 201, OVERLAND PARK, KS 66207-2921
(913) 215-9212
Mailing address
8014 W 149TH ST, OVERLAND PARK, KS 66223-2712
(803) 317-8099
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-05737
KS
Other
Enumeration date
02/11/2016
Last updated
12/02/2016
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