| NPI | 1225399975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY FITCH Credentials Coordinator 913-851-7780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: KS 04-33943) |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2018-06-20 |