Individual ProviderMichael Owen KirseChiropractorChiropractic ProvidersPractice Address1500 NE Douglas St, Lees Summit, MO 64086-4610(816) 525-5355PECOS EnrollmentBased on the most recent information from CMS, provider Michael Owen Kirse does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1588691307Provider TypeIndividualFull NameKirse, Michael OwenTitleDr.CredentialD.C.GenderMaleSole ProprietorNoEnumeration Date6/27/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address1500 NE Douglas St, Lees Summit, MO 64086-4610Phone(816) 525-5355FaxUnlisted FaxMailing LocationMailing AddressPO Box 6486, Lees Summit, MO 64064-6486Phone(816) 525-5355FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicense005472MissouriProvider IdentifiersIDDescriptionIssuerID13739021DescriptionOtherIssuerBCBS PROVIDER NUMBERMissouri