Individual
MARK KEVIN DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
202 S ROGERS RD, LOUISBURG, KS 66053-4064
(314) 320-4893
Mailing address
12484 S HALLET ST, OLATHE, KS 66062-6087
(314) 320-4893
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-01347
KS
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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