NICKOLAS DALE MCCOLLUM

KANSAS CITY, MO
NPI1922685957
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: MO  2018001717)
Enumeration Date2021-03-25
Last Update Date2021-03-25
Business Address
Mr. NICKOLAS DALE MCCOLLUM PTA
5901 NW 63RD TER STE 50
KANSAS CITY, MO 64151-3431
Phone number: 816-589-6234
Mailing Address
Mr. NICKOLAS DALE MCCOLLUM PTA
5901 NW 63RD TER STE 50
KANSAS CITY, MO 64151-3431
Phone number: 816-589-6234
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