| Key Dynamics Chiropractic | |
|
153 W 151st St Suite 150 Olathe KS 66061-5348 | |
| (913) 390-9355 | |
| (913) 390-9356 |
| Full Name | Key Dynamics Chiropractic |
|---|---|
| Speciality | Clinic/Center |
| Location | 153 W 151st St, Olathe, Kansas |
| Authorized Official Name and Position | Shelby Waldman (OWNER) |
| Authorized Official Contact | 9133909355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Key Dynamics Chiropractic 153 W 151st St Suite 150 Olathe KS 66061-5348 Ph: (913) 390-9355 | Key Dynamics Chiropractic 153 W 151st St Suite 150 Olathe KS 66061-5348 Ph: (913) 390-9355 |
| NPI Number | 1396182572 |
|---|---|
| Provider Enumeration Date | 05/29/2013 |
| Last Update Date | 05/29/2013 |
| Medicare PECOS PAC ID | 1557596723 |
|---|---|
| Medicare Enrollment ID | O20131023001647 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396182572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 01-05484 (Kansas) | Primary |
| Provider Name | Amanda Millet Buchanan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1578963278 PECOS PAC ID: 5092036541 Enrollment ID: I20150901002602 |
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