Organization
COOK REHABILITATION MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDE THOMAS COOK M.D. (MANAGER)
(402) 432-9512
Entity
Organization
Contact information
Practice address
8338 W 13TH ST N, MEDICAL DIRECTOR, WICHITA, KS 67212-2900
(402) 432-9512
Mailing address
8338 W 13TH ST N, MEDICAL DIRECTOR, WICHITA, KS 67212-2900
(402) 432-9512
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
04-38402
KS
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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