Organization
KANSAS REGENERATIVE MEDICINE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEN WOODS (CEO)
(785) 320-4700
Entity
Organization
Contact information
Practice address
4809 VUE DU LAC PL STE 101, MANHATTAN, KS 66503-8678
(785) 320-4700
(785) 320-4704
Mailing address
4809 VUE DU LAC PL STE 101, MANHATTAN, KS 66503-8678
(785) 320-4700
(785) 320-4704
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
—
—
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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