# WICHITA REHABILITATION MEDICINE PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851405302
- **Authorized official:** BLAKE C VEENIS M.D. (OWNER)
- **Authorized official phone:** (316) 755-0144

## Contact information

- **Practice address:** 3515 W CENTRAL AVE, WICHITA, KS 67203-4921
- **Practice address phone:** (316) 755-0144
- **Practice address fax:** (844) 274-1204
- **Mailing address:** 3515 W CENTRAL AVE, WICHITA, KS 67203-4921
- **Mailing address phone:** (316) 755-0144
- **Mailing address fax:** (844) 274-1204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/19/2006
- **Last updated:** 04/11/2022