Provider Demographics
NPI:1386917797
Name:8 GATES NATURAL HEALTH, LLC
Entity type:Organization
Organization Name:8 GATES NATURAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:R
Authorized Official - Last Name:KORON
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:816-804-0185
Mailing Address - Street 1:PO BOX 45143
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64171-8143
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5930 ROE AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:MISSION
Practice Address - State:KS
Practice Address - Zip Code:66205-3008
Practice Address - Country:US
Practice Address - Phone:816-804-0185
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-15
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010000776171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty