Healthcare Provider Details

I. General information

NPI: 1972616522
Provider Name (Legal Business Name): REHAB MEDICAL OF KANSAS CITY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 10/25/2024
Certification Date: 10/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9730 PFLUMM RD
LENEXA KS
66215-1206
US

IV. Provider business mailing address

3750 PRIORITY WAY SOUTH DR
INDIANAPOLIS IN
46240-3831
US

V. Phone/Fax

Practice location:
  • Phone: 816-761-0110
  • Fax: 816-761-0114
Mailing address:
  • Phone: 317-436-6178
  • Fax: 855-671-9194

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number12115
License Number StateKS

VIII. Authorized Official

Name: MR. PATRICK MCGINLEY
Title or Position: PRESIDENT
Credential:
Phone: 317-813-0205