KC SPINE LLC NPI 1184100034

NPI Information

  • NPI: 1184100034
  • Provider Name: KC SPINE, LLC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Former Legal Business Name: CLEAR WAVE CHIROPRACTIC
  • Address: 1707 E CEDAR ST STE 108
    OLATHE, KS
    ZIP 66062
  • Phone: (913) 318-3003

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NPI Details

KC SPINE, LLC is a chiropractor in Olathe, 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. KC SPINE, LLC NPI is 1184100034. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Clear Wave Chiropractic.

The provider's business location address is:

1707 E CEDAR ST STE 108
OLATHE, KS
ZIP 66062-886
Phone: (913) 318-3003

The provider's authorized official is Cameon M Blake .
The authorized official title is Owner / Chiropractor and has the following contact phone number (913) 475-5193.

The enumeration date for this NPI number is 7/13/2018 and was last updated on 3/19/2019.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor01-05902KANSASYes

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: 11/21/2025

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