Jacqueline Jimenez, DC | |
8560 N Green Hills Rd Ste 116, Kansas City, MO 64154-1697 | |
(816) 205-8304 | |
(816) 306-2093 |
Full Name | Jacqueline Jimenez |
---|---|
Gender | Female |
Speciality | Chiropractor - Orthopedic |
Location | 8560 N Green Hills Rd Ste 116, Kansas City, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144980319 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NX0800X | Chiropractor - Orthopedic | 2021037406 (Missouri) | Primary |
Provider Name | Advanced Sports And Family Chiropractic, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1376710293 PECOS PAC ID: 7517036023 Enrollment ID: O20080522000538 |
Mailing Address | Practice Location Address |
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Jacqueline Jimenez, DC 8560 N Green Hills Rd Ste 116, Kansas City, MO 64154-1697 Ph: (816) 205-8304 | Jacqueline Jimenez, DC 8560 N Green Hills Rd Ste 116, Kansas City, MO 64154-1697 Ph: (816) 205-8304 |
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