Individual
DORAN NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC,DACBR
Contact information
Practice address
706 E LANGSFORD RD, LEES SUMMIT, MO 64063-2979
(816) 525-2822
Mailing address
706 E LANGSFORD RD, LEES SUMMIT, MO 64063-2979
Taxonomy
Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
Primary
004541
MO
Other
Enumeration date
06/27/2006
Last updated
07/18/2012
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