NPI | 1285828913 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK RAY KILLMAN Physician, President 816-254-9595 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MO 107716) |
Enumeration Date | 2007-09-06 |
Last Update Date | 2007-09-06 |