Organization
WALDO WELLNESS GROUP PC
Active
Other names
Waldo Chiropractic Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY LEE KELLERMAN D.C. (PRESIDENT/OWNER)
(816) 333-2533
Entity
Organization
Contact information
Practice address
7210 WORNALL RD, KANSAS CITY, MO 64114-1345
(816) 333-2533
(816) 333-2586
Mailing address
7210 WORNALL RD, KANSAS CITY, MO 64114-1345
(816) 333-2533
(816) 333-2586
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2007030924
MO
207Q00000X
Family Medicine Physician
Primary
33655
MO
225100000X
Physical Therapist
20110310891
MO
Other
Enumeration date
05/26/2008
Last updated
03/07/2013
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