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NPI Code Detail

MEDICARE: KENNETH NEWMAN JR. PT, DPT

MEDICARE: KENNETH NEWMAN JR. PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistMO

General Provider Information

NPI Number : 1871276808
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENNETH NEWMAN JR. PT, DPT
Provider Business Mailing Address
First Line : 8107 W 129TH TER
Second Line :
City : OVERLAND PARK
State : KS
Zip : 66213-3714
Country : US
Telephone Number : 913-972-3822
Fax Number :
Provider Business Practice Location Address
First Line : 141 S PARKER ST
Second Line :
City : OLATHE
State : KS
Zip : 66061-4043
Country : US
Telephone Number : 913-732-0836
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2023
Last Update Date : 08/08/2023

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Directions to “ KENNETH NEWMAN JR. PT, DPT” Practice Location

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