| NPI | 1437194925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS M. KELLING Physician/Medical Director 816-350-0515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2012-04-20 |