WALDO WELLNESS GROUP PC NPI 1972761187

NPI Information

  • NPI: 1972761187
  • Provider Name: WALDO WELLNESS GROUP PC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Former Legal Business Name: WALDO CHIROPRACTIC GROUP
  • Address: 7210 WORNALL RD
    KANSAS CITY, MO
    ZIP 64114
  • Phone: (816) 333-2533

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NPI Details

WALDO WELLNESS GROUP PC is a family medicine in Kansas City, MO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WALDO WELLNESS GROUP PC NPI is 1972761187. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Waldo Chiropractic Group.

The provider's business location address is:

7210 WORNALL RD
KANSAS CITY, MO
ZIP 64114-345
Phone: (816) 333-2533
Fax: (816) 333-2586

The provider's authorized official is Randy Lee Kellerman .
The authorized official title is President/owner and has the following contact phone number (816) 333-2533.

The enumeration date for this NPI number is 5/26/2008 and was last updated on 3/7/2013.

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
1111N00000XChiropractor2007030924MISSOURINo
2225100000XPhysical Therapist20110310891MISSOURINo
3207Q00000XFamily Medicine33655MISSOURIYes

What is NPI?

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This page was last updated on: 11/21/2025

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