| NPI | 1275560518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A ROLLE President, O & P Practi CIO Ner 316-640-7267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist Prosthetics Case Management (Licence: KS 036F01) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2022-07-21 |