Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 3750 | MO |
NPI | 1003990466 |
---|---|
Provider Name | Joyce Kay Carver |
First Address | Kansas City, MO 64133-1854 |
Second Address | Kansas City, MO 64133-1854 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2006 |
Last Update Date | 08/07/2007 |