| NPI | 1568909935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGHA JAMIL AHMED Owner 316-448-3578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: KS 04-34135) |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2017-01-24 |