Organization
RADIANT FAMILY WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACIE A KREADY (OFFICE MANAGE)
(913) 322-0251
Entity
Organization
Contact information
Practice address
12744 S PFLUMM RD, OLATHE, KS 66062-3664
(913) 322-0251
(816) 817-4861
Mailing address
17701 N US HIGHWAY 169, SMITHVILLE, MO 64089-8609
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
111NP0017X
Pediatric Chiropractor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49738011
BLUE CROSS BLUE SHIELD
KS
01
—
57465021
BLUE CROSS BLUE SHIELD
KS
01
—
6031765
AETNA
—
Enumeration date
07/08/2022
Last updated
07/08/2022
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