Individual
DR. JACOB JOHN FANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
12643 METCALF AVE, OVERLAND PARK, KS 66213-1317
(913) 643-1771
Mailing address
18800 W 164TH TER, OLATHE, KS 66062-9044
(402) 480-3772
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-05359
KS
Other
Enumeration date
10/21/2010
Last updated
07/22/2018
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