Provider Demographics
NPI:1073109161
Name:WESTHUES, KELLI (DC)
Entity type:Individual
Prefix:DR
First Name:KELLI
Middle Name:
Last Name:WESTHUES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6651 N OAK TRFY STE 9
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64118-3353
Mailing Address - Country:US
Mailing Address - Phone:816-780-1987
Mailing Address - Fax:
Practice Address - Street 1:6651 N OAK TRFY STE 9
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64118-3353
Practice Address - Country:US
Practice Address - Phone:816-780-1987
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-14
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2020041036111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor