DR. KEVIN ANDREW SCANLON (NPI# 1942502653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942502653 |
| Entity Type | Individual |
| Full Name | DR. KEVIN ANDREW SCANLON |
| Credential | D.C., B.S. |
| Practice Address |
4307 Blue Ridge Blvd Kansas City MO 64133-2026 |
| Practice Telephone | 8164017282 |
| Practice Fax Number | 8168674555 |
| Mailing Telephone | 8164017282 |
| Mailing Fax Number | 8168674555 |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2019-08-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2010 042 410 | MO | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BCBS- KCMO | 45402028 | 01 |
| Street Address |
4307 BLUE RIDGE BLVD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64133-2026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558437525 | John D Doty | Chiropractor | 4307 Blue Ridge Blvd, Kansas City, MO 64133-2026 | 2006-11-28 |
| 1679850739 | Scanlon Chiropractic LLC | Chiropractor | 4307 Blue Ridge Blvd, Kansas City, MO 64133-2026 | 2011-11-03 |
| 1922284850 | Dr. Lillian L. Avner | Chiropractor | 4307 Blue Ridge Blvd, Kansas City, MO 64133-2026 | 2008-01-09 |
| 1598814832 | Lillian Lee Avner | Chiropractor | 4307 Blue Ridge Blvd, Kansas City, MO 64133-2026 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376029652 | Lauren Chapman Bauer | Occupational Therapy Assistant | 9540 E 75th Street, Raytown, MO 64133 | 2018-07-19 |
| 1871946160 | Brent Jordan Miller | Nurse Practitioner | 9400 East 350 Highway, Raytown, MO 64133 | 2016-07-21 |
| 1518355957 | Sheeba Fazili | Counselor | 8801 East, 63 Rd Street, Raytown, Suite 101, Missouri, KS 64133 | 2015-01-08 |
| 1770998676 | Diana Garcia | Speech-Language Pathologist | 11812 E. 61st. Street, Kansas City, MO 64133 | 2014-06-30 |
| 1326489642 | Helping Hands Adult Day Center | Clinic/Center | 6610 Blue Ridge Blvd., Kansas City, MO 64133 | 2013-07-15 |
| 1346687936 | Judith Hope Evans | Pharmacist | 300 Blue Parkway, Lees Summit, MO 64133 | 2013-05-23 |
| 1912249855 | Shanna O'brien | Social Worker | 8801 E 63rd St Ste 101, Raytown, MO 64133 | 2013-03-18 |
| 1013266550 | Lauren Sword | Chiropractor | 9537 E 57th Terr, Raytown, MO 64133 | 2012-08-30 |
| 1528339207 | Olivia Luelf | Speech-Language Pathologist | 6608 Raytown Rd., Raytown, MO 64133 | 2012-01-26 |
| 1356639074 | Michelle Paulette Cruickshank | Massage Therapist | 6522 Sterling Ave, Raytown, MO 64133 | 2011-07-15 |
| Find all providers in zip 64133 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286577 | Matthew Burton | Chiropractor | 10801 E 50th St, Kansas City, MO 64133-2209 | 2020-08-20 |
| 1457979668 | Harrison Vawter | Chiropractor | 300 W 74th Ter, Kansas City, MO 64114-5746 | 2020-07-14 |
| 1710504477 | Summer Reed | Chiropractor | 4250 N Oak Trfy, Kansas City, MO 64116-4541 | 2020-06-29 |
| 1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
| 1992327613 | Quantum Wellness LLC | Chiropractor | 7280 Nw 87th Ter # C210, Kansas City, MO 64153-3720 | 2020-05-15 |
| 1104450428 | Anthony C Bolin II | Chiropractor | 1800 Wyandotte St # 201, Kansas City, MO 64108-1902 | 2020-02-25 |
| 1942834478 | Chirofit LLC | Chiropractor | 600 Broadway Blvd Ste 175, Kansas City, MO 64105-1536 | 2020-02-24 |
| 1952943482 | Lisa Vawter | Chiropractor | 7019 Oak St, Kansas City, MO 64113-2500 | 2019-10-16 |
| 1114578846 | Taylor Phipps | Chiropractor | 103 Archibald St, Kansas City, MO 64111-2214 | 2019-09-24 |
| 1588211544 | Sean Wattenbarger | Chiropractor | 612 E 117th Ter, Kansas City, MO 64131-3862 | 2019-08-23 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64133 |
Please comment or provide details below to improve the information on DR. KEVIN ANDREW SCANLON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.