# SERC REHABILITATION PARTNERS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SERC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891121877
- **Authorized official:** KILEY RUSSELL (MANAGER)
- **Authorized official phone:** (423) 238-7217

## Contact information

- **Practice address:** 3355 MAIN ST, KANSAS CITY, MO 64111-1904
- **Practice address phone:** (816) 399-0806
- **Practice address fax:** (816) 399-0801
- **Mailing address:** 17134 BEL RAY PL, BELTON, MO 64012-5331
- **Mailing address phone:** (816) 318-0436
- **Mailing address fax:** (816) 318-0437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/23/2013
- **Last updated:** 09/23/2013