Provider Demographics
NPI:1962037630
Name:COMPLETE FAMILY CHIROPRACTIC & WELLNESS LLC
Entity type:Organization
Organization Name:COMPLETE FAMILY CHIROPRACTIC & WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KAILEE
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPHENSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:660-833-8014
Mailing Address - Street 1:825 N PEARL ST
Mailing Address - Street 2:
Mailing Address - City:MILAN
Mailing Address - State:MO
Mailing Address - Zip Code:63556-2463
Mailing Address - Country:US
Mailing Address - Phone:660-265-0068
Mailing Address - Fax:
Practice Address - Street 1:825 N PEARL ST
Practice Address - Street 2:
Practice Address - City:MILAN
Practice Address - State:MO
Practice Address - Zip Code:63556-2463
Practice Address - Country:US
Practice Address - Phone:660-265-0068
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-03
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty