| NPI | 1619489085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY LOGAN Partner 913-338-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: KS 05-33193) |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2017-10-25 |