Provider Demographics
NPI:1831514629
Name:GILES, JULIAN R (DC)
Entity type:Individual
Prefix:DR
First Name:JULIAN
Middle Name:R
Last Name:GILES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:8560 N GREEN HILLS RD
Mailing Address - Street 2:SUITE 118
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64154-1403
Mailing Address - Country:US
Mailing Address - Phone:816-584-0520
Mailing Address - Fax:816-584-0495
Practice Address - Street 1:8560 N GREEN HILLS
Practice Address - Street 2:SUITE 118
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64154-1407
Practice Address - Country:US
Practice Address - Phone:816-584-0520
Practice Address - Fax:816-584-0495
Is Sole Proprietor?:No
Enumeration Date:2014-03-03
Last Update Date:2015-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014001130111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor