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AUTHENTIC LIFE NPI 1437666914


NPI Information

NPI: 1437666914
Provider Name: AUTHENTIC LIFE
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
11960 WEST 119TH STREET
OVERLAND PARK, KS
ZIP 66213
Phone: (913) 563-4621
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AUTHENTIC LIFE is a chiropractor in Overland Park, KS. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. AUTHENTIC LIFE NPI is 1437666914. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

11960 WEST 119TH STREET
OVERLAND PARK, KS
ZIP 66213
Phone: (913) 563-4621

The provider's authorized official is Georgia J Nab .
The authorized official title is Owner/chief Clinical Officer and has the following contact phone number (913) 562-4621.

The enumeration date for this NPI number is 1/5/2018 and was last updated on 1/5/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor04604KANSASYes
2111NN1001XChiropractorNutrition04640KANSASNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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