Oak Grove Chiropractic LLC

NPI #1609354844 in Oak Grove, Missouri

Provider Information

NPI Number: 1609354844
Entity Type: Organization
Organization Name: Oak Grove Chiropractic LLC
Primary Specialty: Chiropractor
Enumeration Date: Jul 31, 2018
Last Updated: Dec 10, 2018

Practice Location

Address: 705 S BROADWAY
City: Oak Grove
State: Missouri
ZIP Code: 64075-8102
Phone: (816) 625-1598

Authorized Official

Name: DR. JESSICA LYNN VANDERKLEI, DC
Title: CO-OWNER/ PRACTICING DOCTOR
Phone: (816) 625-1598

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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