Provider Demographics
NPI:1528726064
Name:BUER, KOLTON RILEY (DC)
Entity type:Individual
Prefix:DR
First Name:KOLTON
Middle Name:RILEY
Last Name:BUER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3017 MCGEE ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-3232
Mailing Address - Country:US
Mailing Address - Phone:316-680-6759
Mailing Address - Fax:
Practice Address - Street 1:10610 SHAWNEE MISSION PKWY STE 210
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66203-3501
Practice Address - Country:US
Practice Address - Phone:913-248-9500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-01
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-06148111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician