| NPI | 1811314834 |
|---|---|
| Former Legal Business Name | ELITE PHYSICAL MEDICINE PA |
| Entity Type | Organization |
| Authorized Contact | SHIRIN GULLEDGE Executive Director 913-338-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: KS 48544) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KS 01-05279) |
| 111N00000X Chiropractor (Licence: KS 01-05085) | |
| 111NR0400X (Licence: KS 01-05280) | |
| 208D00000X General Practice (Licence: KS 0433452) | |
| 363A00000X Physician Assistant (Licence: KS 15-01680) | |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2015-12-04 |