Organization
JAYHAWK PRIMARY CARE INC
Active
Other names
KU MedWest Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN S MILLS OT (MANAGER)
(913) 588-3506
Entity
Organization
Contact information
Practice address
7405 RENNER ROAD, KU MEDWEST THERAPY, SHAWNEE, KS 66217-0000
(913) 588-3506
(913) 588-3508
Mailing address
7405 RENNER ROAD, KU MEDWEST THERAPY, SHAWNEE, KS 66217-0000
(913) 588-3506
(913) 588-3508
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/29/2011
Last updated
04/29/2011
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