Logan Canyon Co LLC

NPI #1417548389 in Shawnee, Kansas

Provider Information

NPI Number: 1417548389
Entity Type: Organization
Organization Name: Logan Canyon Co LLC
Subpart: Yes (part of a larger organization)
Parent Organization: LOGAN CANYON CO LLC
Primary Specialty: Chiropractor
Enumeration Date: Feb 2, 2021
Last Updated: Feb 2, 2021

Practice Location

Address: 6308 MONROVIA ST
City: Shawnee
State: Kansas
ZIP Code: 66216-2740
Phone: (913) 710-0577

Authorized Official

Name: SCOTT R HARVEY, DC
Title: OWNER
Phone: (913) 710-0577

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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