Organization
SERC REHABILITATION PARTNERS LLC
Active
Other names
SERC - Stanley, KS
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JOHANNESON (VP REVENUE CYCLE OPERATIONS)
(423) 238-7217
Entity
Organization
Contact information
Practice address
8019 W 151ST ST, OVERLAND PARK, KS 66223-2115
(913) 685-5835
(913) 685-5859
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
KS
261QP2000X
Physical Therapy Clinic/Center
Primary
—
KS
261QX0100X
Occupational Medicine Clinic/Center
—
KS
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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