Individual provider · Type 1 NPI

Ethan Kyle Komp, DC

Chiropractor · Kansas City, MO

NPI number 1689063265 Active

Practice location

2310 Holmes St
Kansas City, MO 64108-2602

Mailing address

8139 Renner Rd Apt 3
Lenexa, KS 66219-8009

Specialties and licenses

TaxonomyCodeLicense
Chiropractor 111N00000X01-05675 (KS)
Chiropractor Primary 111N00000X2016010041 (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 1689063265

Ethan Kyle Komp, DC's National Provider Identifier is 1689063265, issued on Jan 20, 2015. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Kansas City, MO. The record was last updated on Apr 4, 2016.