NICHOLAS DEAN WEDEL

KANSAS CITY, KS
NPI1780062612
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: KS  11-05141)
Additional Taxonomies225100000X Physical Therapist
Enumeration Date2015-05-12
Last Update Date2018-06-25
Business Address
NICHOLAS DEAN WEDEL DPT
1801 N 98TH ST
KANSAS CITY, KS 66111
Phone number: 913-264-3000
Mailing Address
NICHOLAS DEAN WEDEL DPT
2401 GILLHAM RD PROVIDER ENROLLMENT
KANSAS CITY, MO 64108-4619
Phone number: 816-701-5200