Ethan Komp (NPI# 1689063265, PAC ID# 6305163130) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1689063265 |
| PAC ID by PECOS | 6305163130 |
| Professional Enrollment ID | I20160518000130 |
| Full Name | Ethan Komp |
| Organization Legal Name | KC CORE, LLC |
| Address |
2310 Holmes St Suite 704 Kansas City MO 64108-2602 |
| Phone Number | 8164046489 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 9830267277 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2310 Holmes St, Suite 704, Kansas City, MO 64108-2602 | 8164046489 | KC CORE, LLC |
| Organization Legal Name | KC CORE, LLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Odwyer | Chiropractic | Kc Core, LLC | 2310 Holmes St, Suite 704, Kansas City, MO 64108-2602 |
| Holly R Osmundson | Chiropractic | Kc Core, LLC | 19550 E 39th St, Suite 235, Independence, MO 64057-2303 |
| Katie C Benson | Chiropractic | Kc Core, LLC | 7900 Lees Summit Rd, Kansas City, MO 64139-1236 |
| Brandon S Meseberg | Chiropractic | Kc Core, LLC | 19550 E 39th St, Suite 235, Independence, MO 64057-2303 |
| Adam G Wilkerson | Chiropractic | Kc Core, LLC | 19550 E 39th St, Suite 235, Independence, MO 64057-2303 |
| Jason Freeman Moss | Chiropractic | Kc Core, LLC | 19550 E 39th St, Suite 235, Independence, MO 64057-2303 |
| Eric J Buckley | Chiropractic | Kc Core, LLC | 19550 E 39th St, Suite 235, Independence, MO 64057-2303 |
| Joel E Terry | Chiropractic | Kc Core, LLC | 7900 Lees Summit Rd, Kansas City, MO 64139-1236 |
| Andrea K Ohmann | Chiropractic | Kc Core, LLC | 6300 W Parker Rd, G25 Texas Health Pain and Wellness Clinic, Plano, TX 75093-8105 |
| Douglas K Mcclellan | Chiropractic | Kc Core, LLC | 6300 W Parker Rd, G25 Texas Health Pain and Wellness Clinic, Plano, TX 75093-8105 |
| Street Address |
2310 HOLMES ST SUITE 704 |
| City | KANSAS CITY |
| State | MO |
| Zip | 64108-2602 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Odwyer | Chiropractic | Kc Core, LLC | 2310 Holmes St, Suite 704, Kansas City, MO 64108-2602 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Jennings | Chiropractic | 1656 Washington St, 120 My Chiropractor Kc, Kansas City, MO 64108-1113 | |
| Nancy R Coates | Physical Medicine and Rehabilitation | American Current Care of Kansas Pa | 1650 Broadway Blvd, Kansas City, MO 64108-1208 |
| Shelley R Lowman | Chiropractic | 1735 Walnut St, Kansas City, MO 64108-1315 | |
| Erin Bales | Optometry | Insight Eyecare Specialties Inc | 1518 Walnut St, Kansas City, MO 64108-1338 |
| Nathan D Jensen | Chiropractic | 1620 Locust St, Suite 100, Kansas City, MO 64108-1418 | |
| Jessica M Taylor | Chiropractic | 1808 Mcgee St, Kansas City, MO 64108-1818 | |
| Sarah Beth Kucera | Chiropractic | 1907 Wyandotte St, Kansas City, MO 64108-1903 | |
| Nancy C Moran | Family Medicine | American Current Care of Kansas Pa | 200 Southwest Blvd, Kansas City, MO 64108-2019 |
| Amy L. Sclesky | Physician Assistant | American Current Care of Kansas Pa | 200 Southwest Blvd, Kansas City, MO 64108-2019 |
| Kingsley U Osuagwu | Psychiatry | University Health Physicians | 300 W 19th Ter, The Healing Canvas, Kansas City, MO 64108-2026 |
| Find all physicians in zip 64108 | |||
| City | KANSAS CITY |
| Zip Code | 64108 |
| Specialty | CHIROPRACTIC |
| City + Specialty | KANSAS CITY + CHIROPRACTIC |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.