Individual
LARRY BRISCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
305 S PLATTE CLAY WAY, STE A, KEARNEY, MO 64060-8214
(816) 628-4409
(816) 781-6973
Mailing address
PO BOX 219672, KANSAS CITY, MO 64121-9672
(816) 628-4409
(816) 407-2301
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2000173364
MO
Other
Enumeration date
10/16/2013
Last updated
09/25/2014
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