Search › Missouri › 111N00000X
Bennett Wyllie
NPI 1588001358 · on the registry since 2013
Practice
- Address
- 305 Nw Englewood Ct
Suite 200
Gladstone, MO 64118 - Phone
- (816) 454-5433
- Fax
- (816) 454-8455
- Organisation at this address
- Jessica Lane Re, Llc
Chiropractic Life Center Pc
Comprehensive Psychiatric Associates, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-06-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri