Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 01-05978 | KS |
Y | 111N00000X | Chiropractor | 2017039451 | MO |
N | 111NR0400X | Rehabilitation Chiropractor | 01-05978 | KS |
N | 111NS0005X | Chiropractic Sports Physician | 2017039451 | MO |
NPI | 1396250718 |
---|---|
Provider Name | Dr. Kowin K Casey |
First Address | Kansas City, MO 64108-1815 |
Second Address | Kansas City, MO 64108-1815 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2017 |
Last Update Date | 23/11/2020 |