| NPI | 1316174535 |
|---|---|
| Doing Business As | KIRKWOOD SPINE AND REHAB |
| Entity Type | Organization |
| Authorized Contact | JACOB HEDGES UTTERBACK President/Owner 314-965-8084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MO 2007000279) |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2009-06-15 |