Provider Demographics
NPI:1285046433
Name:OVERLAND PARK FAMILY CHIROPRACTIC LLC
Entity type:Organization
Organization Name:OVERLAND PARK FAMILY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:L
Authorized Official - Last Name:POUNDS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:913-602-7626
Mailing Address - Street 1:12070 BLUE VALLEY PKWY
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66213-2647
Mailing Address - Country:US
Mailing Address - Phone:913-602-7626
Mailing Address - Fax:913-327-7627
Practice Address - Street 1:12070 BLUE VALLEY PKWY
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66213-2647
Practice Address - Country:US
Practice Address - Phone:913-602-7626
Practice Address - Fax:913-327-7627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-22
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0105552111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty