Organization
CEREBRAL PALSY RESEARCH FOUNDATION OF KANSAS, INC
Active
Organization
CEREBRAL PALSY RESEARCH FOUNDATION OF KANSAS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLA BROCKMEYER (CFO)
(316) 688-1888
Entity
Organization
Contact information
Practice address
5111 E 21ST ST N, WICHITA, KS 67208-1606
(316) 688-1888
(316) 651-5219
Mailing address
5111 E 21ST ST N, WICHITA, KS 67208-1606
(316) 688-1888
(316) 651-5219
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
332BC3200X
Customized Equipment (DME)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004947
COMMON PAY NUMBER
KS
05
—
100008150A
—
KS
05
—
100008150B
—
KS
05
—
100008150D
—
KS
05
—
100028820A
—
KS
Enumeration date
02/21/2007
Last updated
09/27/2018
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