Healthcare Provider Details

I. General information

NPI: 1831906296
Provider Name (Legal Business Name): KANSAS CITY ORTHOPAEDIC INSTITUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2024
Last Update Date: 12/18/2024
Certification Date: 12/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10777 NALL AVE STE 320
OVERLAND PARK KS
66211-1355
US

IV. Provider business mailing address

3651 COLLEGE BLVD
LEAWOOD KS
66211-1910
US

V. Phone/Fax

Practice location:
  • Phone: 913-708-8448
  • Fax: 913-253-1738
Mailing address:
  • Phone: 913-253-8980
  • Fax: 913-253-1760

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: JAMES MORSE
Title or Position: CFO
Credential:
Phone: 913-319-7507