Provider Demographics
NPI:1588096051
Name:LIGON, JEFFERY ADAM (DC)
Entity type:Individual
Prefix:DR
First Name:JEFFERY
Middle Name:ADAM
Last Name:LIGON
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11001 HAUSER ST
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66210-3708
Mailing Address - Country:US
Mailing Address - Phone:913-888-4845
Mailing Address - Fax:913-888-9248
Practice Address - Street 1:11001 HAUSER ST
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66210-3708
Practice Address - Country:US
Practice Address - Phone:913-888-4845
Practice Address - Fax:913-888-9248
Is Sole Proprietor?:No
Enumeration Date:2013-08-06
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013032679111N00000X
KS01--5574111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor