| Fitzgerald Chiropractic L.L.C. | |
|
14300 Metcalf Ave Ste 103 Overland Park KS 66223-2906 | |
| (913) 710-5024 | |
| Not Available |
| Full Name | Fitzgerald Chiropractic L.L.C. |
|---|---|
| Speciality | Clinic/Center |
| Location | 14300 Metcalf Ave Ste 103, Overland Park, Kansas |
| Authorized Official Name and Position | Kevin R Fitzgerald (OWNER/PROVIDER) |
| Authorized Official Contact | 9137105024 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fitzgerald Chiropractic L.L.C. 14300 Metcalf Ave Ste 103 Overland Park KS 66223-2906 Ph: (913) 710-5024 | Fitzgerald Chiropractic L.L.C. 14300 Metcalf Ave Ste 103 Overland Park KS 66223-2906 Ph: (913) 710-5024 |
| NPI Number | 1609450675 |
|---|---|
| Provider Enumeration Date | 05/06/2021 |
| Last Update Date | 05/06/2021 |
| Certification Date | 05/06/2021 |
| Medicare PECOS PAC ID | 7618376195 |
|---|---|
| Medicare Enrollment ID | O20210603001974 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609450675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Kevin Robert Fitzgerald |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1063745560 PECOS PAC ID: 5698806479 Enrollment ID: I20100622000709 |
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