Unknown Individual – Physical Medicine & Rehabilitation Physician, NPI 1699763011
Physical Medicine & Rehabilitation Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
6420, Prospect Avenue, Blue Hills, Kansas City, Jackson County, Missouri, 64132, United States
T503
KANSAS CITY, MO 641321180
Phone: (816) 361-8684
Fax: (816) 361-8787
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 64132)
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