Organization
REHABILITATION SPECIALISTS OF WICHITA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN P RIEG M.D. (OWNER)
(316) 634-3409
Entity
Organization
Contact information
Practice address
1151 N ROCK RD, WICHITA, KS 67206-1262
(316) 634-3409
(316) 634-3644
Mailing address
1151 N ROCK RD, WICHITA, KS 67206-1262
(316) 634-3409
(316) 634-3644
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
04-23692
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100317980C
—
KS
Enumeration date
12/19/2007
Last updated
04/24/2008
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