| Serc | |
|
5799 Broadmoor St Ste 300 Mission KS 66202-2421 | |
| (913) 384-5600 | |
| (913) 384-0719 |
| Full Name | Serc |
|---|---|
| Speciality | Clinic/center - Physical Therapy |
| Location | 5799 Broadmoor St Ste 300, Mission, Kansas |
| Authorized Official Name and Position | Kiley Russell (MANAGER) |
| Authorized Official Contact | 4232388923 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Serc 17134 Bel Ray Pl Belton MO 64012-5331 Ph: (816) 524-5130 | Serc 5799 Broadmoor St Ste 300 Mission KS 66202-2421 Ph: (913) 384-5600 |
| NPI Number | 1427312818 |
|---|---|
| Provider Enumeration Date | 06/29/2012 |
| Last Update Date | 09/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427312818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | () | Primary |
| 261QX0100X | Clinic/center - Occupational Medicine | () | Secondary |
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