Odessa Chiropractic Center
Organization Active NPI Chiropractor · Odessa, MO
NPI 1790979474 · NPPES record last updated Oct 24, 2011
Key facts
- NPI
- 1790979474
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- ODESSA CHIROPRACTIC CENTER
- Practice address
- 216 S 2ND St
Odessa, MO 64076-1248 - Phone
- (816) 633-5355
- Fax
- (816) 633-5356
- NPI assigned
- Sep 5, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Timothy Alan Kesemann, D.C.
- Title
- Owner/Chiropractor
- Phone
- (816) 633-5355
Practitioners 1
-
Timothy A Kesemann, D.C.
National Provider Directory
Locations
216 S 2nd St
Odessa, MO 64076
Phone (816) 633-5355
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
216 S 2ND St
Odessa, MO 64076-1248
Mailing address
216 S 2ND St
Odessa, MO 64076
Phone (816) 633-5355
Other providers in Odessa, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.