Organization
SERC OF CLINTON INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN L MCWILLIAMS PT (PRESIDENT/CLINICAL DIRECTOR)
(816) 524-5287
Entity
Organization
Contact information
Practice address
109 W FRANKLIN ST, CLINTON, MO 64735-2007
(816) 524-5287
(816) 434-6632
Mailing address
109 W FRANKLIN ST, CLINTON, MO 64735-2007
(816) 524-5287
(816) 434-6632
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
105255
MO
225XH1200X
Hand Occupational Therapist
003718
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44281011
BCBS KC
MO
Enumeration date
05/26/2010
Last updated
11/01/2012
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