| NPI | 1497284970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY DALE WARREN Authorized Official 316-882-5353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2022-07-21 |