Individual provider · Type 1 NPI

Mark Charles Childress, DC

Chiropractor · Overland Park, KS

NPI number 1083726632 Active

Practice location

11960 W 119th St
Overland Park, KS 66213-2216

Call (913) 744-2973 Map

Fax (913) 245-9259

Mailing address

15283 W 147th Dr
Olathe, KS 66062-5002

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X4944 (KS)
Chiropractor 111N00000X2006012360 (MO)

Chiropractor: 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.

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About NPI 1083726632

Mark Charles Childress, DC's National Provider Identifier is 1083726632, issued on Aug 31, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Overland Park, KS. The record was last updated on Jul 8, 2007.