| NPI | 1336306448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL LEE BASKIN Practice Manager 816-373-8715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MO 102396) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: KS 05-27198) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2008002407) | |
| Enumeration Date | 2008-05-18 |
| Last Update Date | 2010-10-19 |